NPIMap

Organization Active NPI

Horizons West Medical Group a Professional Corportion

  • Internal Medicine Physician
  • Scottsbluff, NE
National Provider Identifier
1801988266
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HORIZONS WEST MEDICAL GROUP A PROFESSIONAL CORPORTION
Practice address
3911 Avenue B
Suite 2100
Scottsbluff, NE 69361
Phone
(308) 630-2131
Fax
(308) 630-1890
NPI assigned
Sep 29, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Vincent BjorlingNPI 1023027596
Title
President
Phone
(308) 630-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

3911 Avenue B
Suite 2100
Scottsbluff, NE 69361

Mailing address

3911 Avenue B
Suite 2100
Scottsbluff, NE 69361
Phone (308) 630-2131

Other identifiers 2

IdentifierTypeStateIssuer
283821OtherNEMEDICARE OSCAR/CERTIFICAT
CD2704OtherNEPALMENTO GBA-RR MEDICARE

National Provider Directory

National Provider Directory

Locations

1275 Sage St
Gering, NE 69341
Phone (308) 436-2101

1722 1st Ave
Scottsbluff, NE 69361
Phone (308) 635-6200

3911 Avenue B
#1100
Scottsbluff, NE 69361
Phone (308) 630-2100

3911 Avenue B
#2110B
Scottsbluff, NE 69361
Phone (308) 630-2100

3911 Avenue B
Ste 2100
Scottsbluff, NE 69361
Phone (308) 630-2131

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1801988266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 2100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "69361",
            "telephone_number": "308-630-2131",
            "fax_number": "308-630-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 2100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "69361",
            "telephone_number": "308-630-2131",
            "fax_number": "308-630-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS WEST MEDICAL GROUP A PROFESSIONAL CORPORTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "BJORLING",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-630-2100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR/CERTIFICAT",
            "identifier": "283821",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMENTO GBA-RR MEDICARE",
            "identifier": "CD2704",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.