NPIMap

Organization Active NPI

Panhandle Health Services

  • General Practice Physician
  • Scottsbluff, NE
National Provider Identifier
1841365673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PANHANDLE HEALTH SERVICES
Practice address
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone
(308) 630-1469
Fax
(308) 630-1815
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David G Griffiths
Title
Cfo Vice President of Finance
Phone
(308) 630-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X NE Primary

Addresses

Primary practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Mailing address

4021 Avenue B
Scottsbluff, NE 69361-4602
Phone (308) 630-1469

National Provider Directory

National Provider Directory
Tax ID family
Regional West Phys Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 W 42nd St
Ste 1200
Scottsbluff, NE 69361
Phone (308) 630-1478

2 W 42nd St
Ste 2800
Scottsbluff, NE 69361
Phone (308) 630-2992

2 W 42nd St
Ste 3300
Scottsbluff, NE 69361

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841365673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-630-1469",
            "fax_number": "308-630-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-630-1469",
            "fax_number": "308-630-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO  VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "308-630-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.