Healthcare Provider Details

I. General information

NPI: 1679685291
Provider Name (Legal Business Name): MOSCATI HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E 14TH ST SUITE 100
HASTINGS NE
68901-3200
US

IV. Provider business mailing address

PO BOX 1423
HASTINGS NE
68902-1423
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-2929
  • Fax: 402-463-2939
Mailing address:
  • Phone: 402-463-2929
  • Fax: 402-463-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MICHAEL G SKOCH
Title or Position: MD/OWNER
Credential: MD
Phone: 402-463-2929