Organization · NPI-2

Niobrara Family Medicine, LLC

Family Medicine · Plainville, KS

NPI number1295384600
StatusActive
Last updated in NPPESOct 9, 2019

Details

NPI
1295384600
Entity type
Organization (NPI-2)
Legal business name
Niobrara Family Medicine, LLC
Organization subpart
No
Enumeration date
Sep 9, 2019
Last updated
Oct 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1210 N Washington
Plainville, KS 67663

Phone 785-434-2622 · Fax 785-434-2577

Mailing address

1210 N Washington
Plainville, KS 67663-1632

Phone 785-434-2622 · Fax 785-434-2577

Authorized official

Jennifer Maciaszek
Owner/Provider
7854342622

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