MEDICARE: REGIONAL WEST PHYSICIANS CLINIC

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	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC9608	OTHER	NE	PALMETTO GBA

General Provider Information

NPI Number	:	1992703425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL WEST PHYSICIANS CLINIC

Provider Business Mailing Address
First Line	:	1456 CENTER AVE
Second Line	:
City	:	MITCHELL
State	:	NE
Zip	:	69357-1448
Country	:	US
Telephone Number	:	308-623-1234
Fax Number	:	308-623-1388

Provider Business Practice Location Address
First Line	:	1456 CENTER AVE
Second Line	:
City	:	MITCHELL
State	:	NE
Zip	:	69357-1448
Country	:	US
Telephone Number	:	308-623-1234
Fax Number	:	308-623-1388

Authorized Official
Title or Position	:	CEO
Name	:	MR. NED P RESCH
Credential	:
Telephone Number	:	308-635-3711

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	06/17/2025

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Directions to “REGIONAL WEST PHYSICIANS CLINIC ” Practice Location

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