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GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
NPI 1639401508
Clinic/Center in Gothenburg, NE

Active since February 03, 2010
918 20TH STREET, GOTHENBURG, NE 69138(308) 537-7131(308) 537-7310 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gothenburg Family Practice Rural Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC (NPI 1639401508) is a healthcare organization registered as a clinic/center in Gothenburg, Nebraska and active in the NPI registry since February 2010. The organization lists Gerald E Matzke, Partner, as its authorized official.

NPPES Registry Identity

NPI1639401508
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
Location Address918 20TH STREETGothenburg, NE 69138-1237
Mailing Address918 20th StreetGothenburg, NE 69138-1237 · (308) 537-7131 · Fax (308) 537-7310
Phone(308) 537-7131
Fax(308) 537-7310
Organization SubpartNo
Authorized OfficialGerald E MatzkePartner · (308) 537-7131
Enumeration DateFebruary 3, 2010
Last NPPES UpdateApril 13, 2012
✔ NPI 1639401508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NE · 10025929400
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
918 20TH STREET, Gothenburg, NE 69138
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Other Identifiers 5

Medicaid10025929400NE
Other60387NE · Bc/bs
Medicare PIN283875
Other60387Bc/bs
Medicare OSCAR/certification283875NE

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HULT, M.D., P.C.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
DR. GERALD E MATZKE JR. M.D.
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
CAROL SHACKLETON, M.D., P.C.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
DR. CAROL L SHACKLETON M.D.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
MR. AARON I SALOMON PAC
Physician Assistant
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
FAMILY AND SPORT MEDICINE, PC
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gothenburg Family Practice Rural Health Clinic LLC's NPI number?

The NPI number for Gothenburg Family Practice Rural Health Clinic LLC is 1639401508. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Gothenburg Family Practice Rural Health Clinic LLC located?

Gothenburg Family Practice Rural Health Clinic LLC is located at 918 20th Street, Gothenburg, NE 69138. The listed phone number is (308) 537-7131.

What is Gothenburg Family Practice Rural Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gothenburg Family Practice Rural Health Clinic LLC was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.