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NPI Code Detail

MEDICARE: ADOLESCENT AND CHILD CARE SPECIALISTS, P.C.

MEDICARE: ADOLESCENT AND CHILD CARE SPECIALISTS, P.C.
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1114951266
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADOLESCENT AND CHILD CARE SPECIALISTS, P.C.
Provider Business Mailing Address
First Line : 210 MCNEEL LN
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6290
Country : US
Telephone Number : 308-534-9230
Fax Number : 308-534-5016
Provider Business Practice Location Address
First Line : 210 MCNEEL LN
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6290
Country : US
Telephone Number : 308-534-9230
Fax Number : 308-534-5016
Authorized Official
Title or Position : OWNER
Name : DR. DELL A SHEPHERD
Credential : M.D.
Telephone Number : 308-534-9230
Provider Enumeration Date : 07/11/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1043244098 — DR. SAMUEL H PERRRY II M.D.
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-534-9230
Practice Fax: 308-534-5016
1720012776 — MARY E DAILEY APRN
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-221-6262
Practice Fax: 308-221-6261
1417970096 — DR. DELL A SHEPHERD M.D.
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-534-9230
Practice Fax: 308-534-5016
1235212424 — DR. WENDY JO GOSNELL MD
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-221-6262
Practice Fax: 308-221-6261
1699081208 — TAMARA R CLOUSE NP-C
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-221-6262
Practice Fax: 308-221-6261
1841596681 — MRS. KRISTIN MARIE ROELFS MPAS, PA-C
Practice Location Address:
210 MCNEEL LN
NORTH PLATTE, NE
69101-6290
Practice Phone: 308-534-9230
Practice Fax: 308-534-5016

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