Bloomfield Medical Clinic Dba Osmond Medical Clinic

LBN: Bloomfield Medical Clinic
Bloomfield Medical Clinic Dba Osmond Medical Clinic is an health care organization with primary practice located at 418 N State St , Osmond NE 68765-5722. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bloomfield Medical Clinic can be contacted via phone (402) 748-3366, or through Lauck, Kevin D via phone (402) 373-4341.

Contact Information

Primary practice address
418 N State St Osmond NE 68765-5722
Phone: (402) 748-3366
Fax: (402) 373-4344
Website:
Map and Directions
Authorized official contact:
Name: Lauck, Kevin D Physician's Assistant Certified (PA-C)
Phone: (402) 373-4341

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25844 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1040 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2003 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110153 Nebraska

Profile Details

NPI number 1902355951
LBN Legal business name Bloomfield Medical Clinic
DBA Doing business as Bloomfield Medical Clinic Dba Osmond Medical Clinic
Authorized official Lauck, Kevin D Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2016
Last updated Sep 30th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902355951 NPPES
Nebraska MEDICAID 10025588500

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