Provider Demographics
NPI:1982638920
Name:MIDLANDS FAMILY MEDICINE
Entity Type:Organization
Organization Name:MIDLANDS FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRITTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-534-2532
Mailing Address - Street 1:611 W FRANCIS ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-0620
Mailing Address - Country:US
Mailing Address - Phone:308-534-2532
Mailing Address - Fax:308-534-6615
Practice Address - Street 1:611 W FRANCIS ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-0620
Practice Address - Country:US
Practice Address - Phone:308-534-2532
Practice Address - Fax:308-534-6615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098249Medicare ID - Type Unspecified