Family Medical Center, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CENTER, P.C.

Practice address

221 E 10TH St
Ogallala, NE 69153-1425

Phone

(308) 284-8421

NPI assigned

Mar 15, 2007

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Kolste

Title

Practice Manager

Phone

(308) 284-8421

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Cody J. Kimberling, PA-C

  • Physician Assistant
  • North Platte, NE
  • NPI 1871686519
  NPD (past)
• Amber Lynae Reynolds-Lorentz, PA-C

  • Medical Physician Assistant
  • Ogallala, NE
  • NPI 1023426202
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1811021348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691530026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 10TH ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691531425",
            "telephone_number": "308-284-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "KOLSTE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "308-284-8421"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Detlefsen
• Librada Diaz-Wood
• Jeffrey Dukes
• Educational Service Unit 16
• Lisa Einspahr
• Nicolas Jim Fanning, D.C., M.S.
• Kendra Fink, OD
• Edward F Fogarty III, MD
• Beverly Ann Frates McMahon, MS LMHP LADC
• Jill Funk

• Family Medicine Physician in Ogallala, NE
• Providers in Ogallala, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.