Healthcare Provider Details

I. General information

NPI: 1912132036
Provider Name (Legal Business Name): INPATIENT PHYSICIAN ASSOCIATES NORTH PLATTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W LEOTA ST
NORTH PLATTE NE
69101-6525
US

IV. Provider business mailing address

PO BOX 6971
LINCOLN NE
68506-0971
US

V. Phone/Fax

Practice location:
  • Phone: 308-696-8000
  • Fax:
Mailing address:
  • Phone: 402-486-7027
  • Fax: 402-437-7870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number StateNE

VIII. Authorized Official

Name: BRIAN J BOSSARD
Title or Position: OWNER
Credential: MD
Phone: 402-481-4780