CRAIG D BARTRUFF M.D., P.C. (NPI# 1487980165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487980165 |
Entity Type | Organization |
Organization Name | CRAIG D BARTRUFF M.D., P.C. |
Other Organization Name | GOTHENBURG MEDICAL ARTS RURAL HEALTH CLINIC |
Practice Address |
619 10th St Gothenburg NE 69138-2063 |
Practice Telephone | 3085373673 |
Practice Fax Number | 3085373675 |
Mailing Telephone | 3085373673 |
Mailing Fax Number | 3085373675 |
Enumeration Date | 2009-10-30 |
Last Update Date | 2014-03-03 |
Authorized Official Name | DR. CRAIG D BARTRUFF (OWNER) |
Authorized Official Telephone | 3085373673 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gothenburg Medical Arts Rural Health Clinic | Doing Business As Name - Organization |
Street Address |
619 10TH ST |
City | GOTHENBURG |
State | NE |
Zip Code | 69138-2063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720380553 | Britney Ranee Wever | Physician Assistant | 619 10th St, Gothenburg, NE 69138-2063 | 2010-11-30 |
1467643601 | Craig D Bartruff, M.d., P.C. | Clinic/Center | 619 10th St, Gothenburg, NE 69138-2063 | 2007-08-05 |
1801833660 | Craig David Bartruff | Family Medicine | 619 10th St, Gothenburg, NE 69138-2063 | 2006-06-01 |
1811941404 | Blaine Michael Cornelius | Physician Assistant | 619 10th St, Gothenburg, NE 69138-2063 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215235023 | Gottenburg Senior Living, LLC | Assisted Living Facility | 110 20th Street, Gothenburg, NE 69138 | 2011-03-02 |
1215108758 | Shopko Stores Operating Co LLC | Pharmacy | 718 4th Street, Gothenburg, NE 69138 | 2008-03-12 |
1013047810 | Randal E Strohmyer | Dentist | 513 10th Street, Gothenburg, NE 69138 | 2007-03-07 |
1225177652 | Brenda Hiebner | Counselor | 815 Lake Ave, Gothenburg, NE 69138 | 2007-02-05 |
1790887917 | Royce Lydell Hiebner | Chiropractor | 417 9th St, Gothenburg, NE 69138 | 2006-09-01 |
1649652306 | Kayla S Knauss | Family Medicine | 918 20th St, Gothenburg, NE 69138 | 2015-06-18 |
1427499854 | Wendy Hunt Most | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2013-07-14 |
1588022180 | Life Transitions LLC | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2016-02-10 |
1871566695 | Garret T Shaw | Family Medicine | 918 20th St, Gothenburg, NE 69138-1237 | 2006-02-10 |
1750352480 | Amy S Mahar | Physician Assistant | 918 20th Street, Gothenburg, NE 69138-1237 | 2006-01-31 |
Find all providers in zip 69138 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477953305 | Gothenburg Memorial Hospital | Clinic/Center | 918 20th St, Gothenburg, NE 69138-1237 | 2014-08-28 |
1467643601 | Craig D Bartruff, M.d., P.C. | Clinic/Center | 619 10th St, Gothenburg, NE 69138-2063 | 2007-08-05 |
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1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
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1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
Find all providers with the same taxonomy |
City | GOTHENBURG |
Zip Code | 69138 |
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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.