Healthcare Provider Details

I. General information

NPI: 1265523013
Provider Name (Legal Business Name): MED-CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N DIERS AVE SUITE 2
GRAND ISLAND NE
68803-4986
US

IV. Provider business mailing address

PO BOX 5465
GRAND ISLAND NE
68802-5465
US

V. Phone/Fax

Practice location:
  • Phone: 308-398-1147
  • Fax: 308-398-1149
Mailing address:
  • Phone: 308-398-1147
  • Fax: 308-398-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. J PAUL MEYER
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 308-398-1147