FIRST CARE MEDICAL, PC (NPI# 1215171624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215171624 |
| Entity Type | Organization |
| Organization Name | FIRST CARE MEDICAL, PC |
| Other Organization Name | FIRST CARE MEDICAL, PC OF RAVENNA |
| Practice Address |
104 W Seneca St Ravenna NE 68869-1363 |
| Mailing Address |
104 W Seneca St Po Box 125 Ravenna NE 68869-1363 |
| Practice Telephone | 3082367016 |
| Practice Fax Number | 3082367027 |
| Mailing Telephone | 3082367016 |
| Mailing Fax Number | 3082367027 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | MR. AARON J MADSEN (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 3082367016 |
| Authorized Official Credential | MBA, ATC, NREMT |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST CARE MEDICAL, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE PTAN | DP1168 | 01 |
| NE | MEDICARE PTAN | NA1259 | 01 |
| NE | CLIA ID # | 28D1100092 | 01 |
| NE | 10025764700 | 05 |
| Other Name | Type Code |
|---|---|
| First Care Medical, PC of Ravenna | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295834968 | First Care Medical, PC | Clinic/Center | 2605 2nd Ave, Kearney, NE 68847-4425 | 2006-09-21 |
| Street Address |
104 W SENECA ST |
| City | RAVENNA |
| State | NE |
| Zip Code | 68869-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821040536 | Ryan J Lieske | Physician Assistant | 104 W Seneca St, Ravenna, NE 68869-1363 | 2006-05-17 |
| 1699305896 | Heartland Health Center, Inc | Clinic/Center | 104 W Seneca St, Ravenna, NE 68869-1363 | 2020-01-16 |
| 1851812721 | Ravenna Medical Clinic PC | Clinic/Center | 104 W Seneca St, Ravenna, NE 68869 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942417852 | Family Physical Therapy & Sports Center | Physical Therapist | 321 Grand Ave, Ravenna, NE 68869 | 2007-05-17 |
| 1528280542 | Brooke Joel Wright | Counselor | 301 W Sherman St, Ravenna, NE 68869-1024 | 2007-05-02 |
| 1417408626 | Karen Flessner | Licensed Practical Nurse | 821 Buell Ave, Ravenna, NE 68869-1071 | 2016-10-23 |
| 1457644577 | Seneca Sunrise LLC | Assisted Living Facility | 710 Grand Ave, Ravenna, NE 68869-1100 | 2011-05-23 |
| 1104807098 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 411 W Genoa St, Ravenna, NE 68869-1213 | 2005-11-08 |
| 1083676860 | City of Ravenna | Ambulance | 416 Verona Ave, Ravenna, NE 68869-1240 | 2006-04-05 |
| 1114061751 | Terry Wayne Teichmeier | Chiropractor | 316 Grand Ave # 73, Ravenna, NE 68869-1322 | 2007-02-16 |
| 1033151329 | Svanda Pharmacy Inc | Pharmacy | 314 Grand Ave, Ravenna, NE 68869-1322 | 2006-06-12 |
| 1003175837 | Jane Lea Wachter | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2012-05-14 |
| 1396947032 | James Lee Trambly | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2007-06-04 |
| Find all providers in zip 68869 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699305896 | Heartland Health Center, Inc | Clinic/Center | 104 W Seneca St, Ravenna, NE 68869-1363 | 2020-01-16 |
| 1194099093 | Partners Optical Supply Inc | Clinic/Center | 159 E Main St, Ravenna, OH 44266-3128 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1851903967 | Lincoln Tongue Tie Center LLC | Clinic/Center | 5760 S 86th St Ste 2, Lincoln, NE 68526-6053 | 2020-08-19 |
| 1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
| 1396365052 | Therapeutic Procedures PC | Clinic/Center | 701 Pinnacle Dr, Papillion, NE 68046-6224 | 2020-04-23 |
| 1245882778 | Hospice Community Care of Nebraska, LLC | Clinic/Center | 300 S 68th Street Pl Ste 205, Lincoln, NE 68510-2450 | 2019-07-15 |
| 1700353992 | Ascend Chiropractic, LLC | Clinic/Center | 5611 Nw 1st St Ste 105, Lincoln, NE 68521-4469 | 2018-10-26 |
| 1134694730 | Joyful Heart House Calls, LLC | Clinic/Center | 2903 Cape Horn Cir, Plattsmouth, NE 68048-7159 | 2018-10-10 |
| 1255834982 | Ks Old Cheney, LLC | Clinic/Center | 6450 O St Ste 2, Lincoln, NE 68510-2369 | 2018-03-08 |
| 1144721820 | Ideal Option, Pllc | Clinic/Center | 600 N Cotner Blvd Ste 101, Lincoln, NE 68505-2343 | 2018-02-27 |
| 1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.