MIDTOWN HEALTH CENTER, INC. (NPI# 1932752888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932752888 |
| Entity Type | Organization |
| Organization Name | MIDTOWN HEALTH CENTER, INC. |
| Practice Address |
700 S Kent St Madison NE 68748-6279 |
| Mailing Address |
302 W Phillip Ave Norfolk NE 68701-5248 |
| Practice Telephone | 4023718000 |
| Mailing Telephone | 4023718000 |
| Mailing Fax Number | 4023710971 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | MELODEE J DRENKOW (SYSTEMS AUDITOR/CREDENTIALING) |
| Authorized Official Telephone | 4023701064 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDTOWN HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midtown Health Center--Madison Middle School/High School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100723 | Midtown Health Center, Inc. | Clinic/Center | 435 N Monitor St, West Point, NE 68788-1554 | 2019-12-06 |
| 1124671987 | Midtown Health Center, Inc. | Clinic/Center | 2500 W Norfolk Ave, Norfolk, NE 68701-4427 | 2019-07-22 |
| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| 1932752896 | Midtown Health Center, Inc. | Clinic/Center | 1205 S 2nd St, Norfolk, NE 68701-6323 | 2019-07-19 |
| 1063065928 | Midtown Health Center, Inc. | Clinic/Center | 1101 N 18th St, Norfolk, NE 68701-2523 | 2019-07-19 |
| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
| 1649823501 | Midtown Health Center, Inc. | Clinic/Center | 1703 W Phillip Ave, Norfolk, NE 68701-4737 | 2019-07-19 |
| 1174136543 | Midtown Health Center, Inc. | Clinic/Center | 210 S 3rd St, Norfolk, NE 68701-5204 | 2020-08-26 |
| 1407409261 | Midtown Health Center, Inc. | Clinic/Center | 611 Meadow Ln, Norfolk, NE 68701-7215 | 2019-07-22 |
| 1992358824 | Midtown Health Center, Inc. | Clinic/Center | 600 E Benjamin Ave, Norfolk, NE 68701-0830 | 2019-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MIDTOWN HEALTH CENTER, INC. | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Street Address |
700 S KENT ST |
| City | MADISON |
| State | NE |
| Zip Code | 68748-6279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508324922 | Janet Marie Pfeifer | Registered Nurse | 700 S Kent St, Madison, NE 68748-6279 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912084641 | City of Madison | Ambulance | 211 South Lincoln, Madison, NE 68748-0527 | 2006-11-01 |
| 1558614172 | Katie L Wood | Physician Assistant | 118 W 3rd St, Madison, NE 68748-0595 | 2012-10-19 |
| 1578585048 | Gary N Bring | Dentist | 203 So. Main St., Madison, NE 68748-1207 | 2006-07-24 |
| 1144308271 | Kristi L Jagels | Physical Therapist | 119 Saddle Lane, Madison, NE 68748-6009 | 2006-11-02 |
| 1427656776 | Jacqueline Sue Wegener | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2020-10-09 |
| 1811501596 | Arbor Care Centers - Countryside LLC | Assisted Living Facility | 703 N Main St, Madison, NE 68748-6009 | 2020-09-01 |
| 1205182268 | Mariah Delmont | Physical Medicine & Rehabilitation | 703 N Main St, Madison, NE 68748-6009 | 2012-07-27 |
| 1902881022 | Countryside Home | Skilled Nursing Facility | 703 N Main St, Madison, NE 68748-6009 | 2005-12-13 |
| 1417415019 | Lisa Alice Holoubek | Registered Nurse | 700 S Kent St # 450, Madison, NE 68748-6279 | 2019-03-04 |
| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| Find all providers in zip 68748 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers in MADISON | ||||
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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.