Provider Demographics
NPI:1104506435
Name:MCFARLAND, MATTHEW E
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:E
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:AXTELL
Mailing Address - State:NE
Mailing Address - Zip Code:68924-0097
Mailing Address - Country:US
Mailing Address - Phone:308-743-2415
Mailing Address - Fax:
Practice Address - Street 1:500 MAIN ST
Practice Address - Street 2:
Practice Address - City:AXTELL
Practice Address - State:NE
Practice Address - Zip Code:68924-2431
Practice Address - Country:US
Practice Address - Phone:308-743-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant