| Organization Name: | BLUFFS HEALTH CARE CLINIC |
| NPI Number: | 1033340146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN E. VAN NOY (PHYSICIAN ASSISTANT) |
| Mailing Address: | 914 W 36th Str Scottsbluff |
| State: | NE US |
| Postal Code: | 69361 |
| Phone Number: | 3086331280 |
| Fax Number: | 3086331285 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |