MEDICARE: MIDLANDS FAMILY MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1982638920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDLANDS FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	611 W FRANCIS ST
Second Line	:	SUITE 100
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-0620
Country	:	US
Telephone Number	:	308-534-2532
Fax Number	:	308-534-6615

Provider Business Practice Location Address
First Line	:	611 W FRANCIS ST
Second Line	:	SUITE 100
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-0620
Country	:	US
Telephone Number	:	308-534-2532
Fax Number	:	308-534-6615

Authorized Official
Title or Position	:	PARTNER
Name	:	JEFFREY C BRITTAN
Credential	:	M.D
Telephone Number	:	308-534-2532

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/24/2022

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Practice Location Address:

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1437248994 — EDUARDO AUGUSTO FONSECA FREITAS MD
Practice Location Address:

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Directions to “MIDLANDS FAMILY MEDICINE ” Practice Location

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