Kearney Regional Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KEARNEY REGIONAL MEDICAL CENTER LLC

Doing business as

Platte Valley Medical Clinic, LLC

Practice address

816 22ND Ave Suite 100
Kearney, NE 68845-2206

Phone

(308) 865-2263

Fax

(308) 865-2541

NPI assigned

Aug 13, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

KEARNEY REGIONAL MEDICAL CENTER LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tom McLeod

Title

Administrator

Phone

(308) 865-2263

Specialties & licenses 1

Addresses

Other names 1

• Platte Valley Medical Clinic, LLC Doing business as

Part of

Kearney Regional Medical Center

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1790194918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEARNEY REGIONAL MEDICAL CENTER LLC",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-865-2263"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platte Valley Medical Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.