Provider Demographics
NPI:1891246914
Name:HIGHPOINT FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:HIGHPOINT FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEHREND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-235-3601
Mailing Address - Street 1:111 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1208
Mailing Address - Country:US
Mailing Address - Phone:308-235-3601
Mailing Address - Fax:
Practice Address - Street 1:111 E 2ND ST
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:NE
Practice Address - Zip Code:69145-1208
Practice Address - Country:US
Practice Address - Phone:308-235-3601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty