Organization Active NPI

Valentine Medical Clinic, LLC

  • Family Medicine Physician
  • Valentine, NE
National Provider Identifier
1881704229
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALENTINE MEDICAL CLINIC, LLC
Practice address
502 N Cherry St
Valentine, NE 69201-1518
Phone
(402) 376-2200
Fax
(402) 376-2219
NPI assigned
Aug 30, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Michele Mulligan-Witt, MDNPI 1184734592
Title
President / Ceo
Phone
(402) 376-2200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 21205 NE
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

502 N Cherry St
Valentine, NE 69201-1518

Mailing address

502 N Cherry St
Valentine, NE 69201-1518
Phone (402) 376-2200

National Provider Directory

National Provider Directory

Locations

938 E Zero St
Ste B
Ainsworth, NE 69210
Phone (402) 376-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1881704229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N CHERRY ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011518",
            "telephone_number": "402-376-2200",
            "fax_number": "402-376-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N CHERRY ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011518",
            "telephone_number": "402-376-2200",
            "fax_number": "402-376-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN-WITT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "402-376-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "21205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valentine, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.