FAMILY CARE CLINIC (NPI# 1871742346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871742346 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CLINIC |
| Practice Address |
645 Osage St Sidney NE 69162-1714 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9705268100 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 65221249 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355807 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2015-05-08 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1215172101 | Family Care Clinic | Clinic/Center | 302 Bay Avenue, Richton, MS 39476-1650 | 2008-12-08 |
| 1902118011 | Family Care Clinic | Clinic/Center | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2010-07-06 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1770817413 | Family Care Clinic | Family Medicine | 8050 W Rifleman St Ste 100, Boise, ID 83704-9000 | 2009-09-29 |
| 1487801544 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 101, Sterling, CO 80751-4563 | 2008-08-20 |
| 1437306677 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 105, Sterling, CO 80751-4563 | 2008-08-19 |
| 1114199353 | Family Care Clinic | Internal Medicine | 4506 Briarwood Ave, Midland, TX 79707-2642 | 2008-03-27 |
| 1265469514 | Family Care Clinic | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY CARE CLINIC | 1730 Se 96th Avenue, Portland, OR 97216 |
| System for Award Management (SAM) Entities | FAMILY CARE CLINIC OF HENRYETTA | 2401 W Main St, Henryetta, OK 74437-3893 |
| Street Address |
645 OSAGE ST |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891708525 | Cheyenne County Hsptl Association Inc | Pharmacy | 645 Osage St, Sidney, NE 69162-1707 | 2006-08-14 |
| 1376915397 | Marci Elizabeth Rosenberg | Dietitian, Registered | 645 Osage St, Sidney, NE 69162-1714 | 2015-10-29 |
| 1144640764 | Holly Thiele | Nutritionist | 645 Osage St, Sidney, NE 69162-1714 | 2014-04-22 |
| 1992123582 | David F Manke | Registered Nurse | 645 Osage St, Sidney Regional Medical Center, Sidney, NE 69162-1714 | 2014-04-01 |
| 1295151025 | Craig S Sandberg | Nurse Anesthetist, Certified Registered | 645 Osage St, Sidney Regional Medical Center, Sidney, NE 69162-1714 | 2014-03-18 |
| 1265869341 | Brad Allen Kennedy | Physical Therapist | 645 Osage St, Sidney, NE 69162-1714 | 2013-10-03 |
| 1568897395 | Barbara Jean Ernest | Physical Therapist | 645 Osage St, Sidney, NE 69162-1714 | 2013-09-11 |
| 1528253754 | Margaret Ann Adams | Occupational Therapist | 645 Osage St, Sidney, NE 69162-1714 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| Find all providers in zip 69162 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1790107753 | The Clearview Center, Incorporated | Clinic/Center | 105 S 49th St Ste K, Omaha, NE 68132-3252 | 2014-01-10 |
| 1851737316 | St. Mary's Community Hospital | Clinic/Center | 1301 Grundman Blvd., Suite A, Nebraska City, NE 68410-3320 | 2013-05-10 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 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.