Organization

North Platte Nebraska Physician Group Llc

Legal Business Name

North Platte Nebraska Physician Group Llc

NPI Number

1740465715

NPI Type

Organization

Enumeration Date

01/08/2008

Contact
Information

Purpose

Mailing
Location

Address

601 W LEOTA ST
601 W LEOTA ST

City

North Platte
North Platte

State

NE
NE

Postal Code

69101-6525
69101-6525

Country

US
US

Telephone Number

(308) 696-8347
(308) 696-8347

Authorized Official

Name

Mrs. Krystal Claymore

Title or Position

BOARD OF MANAGERS

Telephone Number

(308) 696-7496

Identifiers

Identifier

DN5151

Identifier State

Unknown

Identifier Issuer

RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/11/2016

Provider Address