Minnechaduza Medical Clinic P.c.
Pediatrics
Minnechaduza Medical Clinic P.c. is a Valentine, Nebraska based Pediatric center with medical specialization in
General Pediatrics. Minnechaduza Medical Clinic P.c. is also known as
Minnechaduza Medicine.
It is located at
148 E 1st St, Suite 400, Valentine, Nebraska - 69201-1802. They can be contacted on phone at
402-376-1368 and fax number 866-614-6108.
NPI number (Unique professional ID) for Minnechaduza Medical Clinic P.c. is
1285862359 which was assigned by NPPES on 29 Jun, 2009 and it was last updated on 29 Jun, 2009.
Minnechaduza Medical Clinic P.c. license number is
20604 for Pediatrics (208000000X) in Nebraska.
Minnechaduza Medical Clinic P.c. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Minnechaduza Medical Clinic P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Minnechaduza Medical Clinic P.c. |
|---|
| Other Name : | Minnechaduza Medicine |
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Business Address:
Minnechaduza Medical Clinic P.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 148 E 1st St, Suite 400
Valentine, NE, 69201-1802
United States |
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| Phone Number : | 402-376-1368 |
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| Fax Number : | 866-614-6108 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285862359 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Jun, 2009 |
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| Last Updated On : | 29 Jun, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Timothyw Ryschon |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER/MEDICAL DIRECTOR |
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| Phone Number : | 402-389-2121 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Minnechaduza Medical Clinic P.c. are as mentioned. Primary taxonomy code for Minnechaduza Medical Clinic P.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4298 | SD |
| 208000000X | Pediatrics | No | 43417 | CO |
| 363A00000X | Physician Assistant | No | 536 | CO |
| 208000000X | Pediatrics | Yes | 20604 | NE |
Legacy Identifiers:
Other legacy medical identifiers of Minnechaduza Medical Clinic P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10025277700 | MEDICAID | NE | |
| 00866 | Other | NE | BCBS NEBRASKA |
| 7714810 | MEDICAID | SD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 148 E 1st St, Suite 400
Valentine, NE, 69201-1802
United States |
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| Phone Number : | 402-376-1368 |
|---|
| Fax Number : | 866-614-6108 |
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Business Location:
Patients can refer following map for directions to
Minnechaduza Medical Clinic P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.