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NPI Code Detail

MEDICARE: DR. DAVID CLARK HATCH M.D.

MEDICARE: DR. DAVID CLARK HATCH M.D.
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
12085R0202XDiagnostic Radiology Physician21277NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300133488OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
335792OTHERNEBLUE CROSS / BLUE SHIELDS

General Provider Information

NPI Number : 1407871908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CLARK HATCH M.D.
Provider Business Mailing Address
First Line : PO BOX 362
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69103-0362
Country : US
Telephone Number : 308-647-6444
Fax Number : 308-647-6433
Provider Business Practice Location Address
First Line : 601 W LEOTA ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6525
Country : US
Telephone Number : 308-647-6444
Fax Number : 308-647-6433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/09/2010

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Directions to “ DR. DAVID CLARK HATCH M.D.” Practice Location

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