Provider Demographics
NPI:1265523013
Name:MED-CARE INC
Entity type:Organization
Organization Name:MED-CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-398-1147
Mailing Address - Street 1:PO BOX 5465
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5465
Mailing Address - Country:US
Mailing Address - Phone:308-398-1147
Mailing Address - Fax:308-398-1149
Practice Address - Street 1:603 N DIERS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4986
Practice Address - Country:US
Practice Address - Phone:308-398-1147
Practice Address - Fax:308-398-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025099800Medicaid
NE099515Medicare PIN
NE10025099800Medicaid