Organization · Type 2 NPI
Gothenburg Family Practice Rural Health Clinic LLC
Clinic/Center · Gothenburg, NE
NPI number
1639401508
Active
Practice location
918 20th Street
Gothenburg, NE 69138-1237
Fax (308) 537-7310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 10025929400 (NE) |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6 other providers at this address
- Carol Shackleton, M.d., P.c.Family Medicine Physician Gothenburg, NE NPI 1194803619
- David Hult, M.d., P.c.Family Medicine Physician Gothenburg, NE NPI 1043413511
- Family and Sport Medicine, PCSports Medicine (Family Medicine) Physician Gothenburg, NE NPI 1932201803
- Aaron I. Salomon, PACPhysician Assistant Gothenburg, NE NPI 1689736019
- Carol L. Shackleton, MDFamily Medicine Physician Gothenburg, NE NPI 1629004759
- Gerald E. Matzke Jr., MDSports Medicine (Family Medicine) Physician Gothenburg, NE NPI 1154345973
About NPI 1639401508
Gothenburg Family Practice Rural Health Clinic LLC's National Provider Identifier is 1639401508, issued on Feb 3, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gothenburg, NE. The record was last updated on Apr 13, 2012.