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Fairbury Clinic, P.C.

Family Medicine Physician in Fairbury, NE · enumerated 2006 · authorized official Jacki Moellenberndt, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619948551

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Registry record

Entity type Organization (Type 2)
Legal business name Fairbury Clinic, P.C.
Practice address 825 22nd St, Fairbury, NE, 68352
Phone (402) 729-3361
Fax (402) 729-4010
Enumeration date Jan 30, 2006
Last updated in NPPES Oct 12, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jacki Moellenberndt
Title Office Manager
Phone (402) 729-3361

Other identifiers

Identifier Type State Issuer
100300280A Medicaid KS -
100300280B Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-10-12. Verify at npiregistry.cms.hhs.gov.
Where is Fairbury Clinic, P.C. located?
The practice location on file with NPPES is in Fairbury, NE.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-12.