Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PARK STREET MEDICAL CLINIC PC
Active OrganizationPARK STREET MEDICAL CLINIC PC is a Family Medicine organization located in GENOA, Nebraska. NPI 1790086999 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GENOA, NE
Registration Details
- NPI Number
- 1790086999
- Provider Type
- Organization
- NPI Issued
- Nov 4, 2010 (15.607373811297 yrs)
- Last Updated
- Nov 4, 2010
Practice Information
- Address
-
505 SOUTH PARK STREETGENOA, NE, 68640Browse NE providers · Browse ZIP 68640
- Phone
- 4029932206
- Fax
- 4029932595
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.