Whalio Doctors

NPI 1902355951

Bloomfield Medical Clinic

Organisation Family Medicine Physician Osmond, NE

Practice location

Address
418 N State St, Osmond, NE 68765-5722
Phone
(402) 748-3366
Fax
(402) 373-4344
Mailing address
105 S Broadway St PO Box 357, Bloomfield, NE 68718-4419

Authorised official

Name
Kevin D Lauck
Title
President
Phone
(402) 373-4341

Registered specialties (4)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25844 (NE)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1040 (NE)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2003 (NE)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 110153 (NE)

Registry record

NPI
1902355951
Entity type
Organization
NPI issued
30 Sep 2016
Record last updated
30 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.