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NEBRASKA SCOOTER MART LLC NPI 1295737054


NPI Information

NPI: 1295737054
Provider Name: NEBRASKA SCOOTER MART LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 28D2107978

Address:
415 N 66TH ST
SUITE 1
LINCOLN, NE
ZIP 68505
Phone: (404) 464-3900
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NEBRASKA SCOOTER MART LLC is a durable medical equipment medical supplies in Lincoln, NE. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NEBRASKA SCOOTER MART LLC NPI is 1295737054. The provider is registered as an organization entity type.

The provider's business location address is:

415 N 66TH ST
SUITE 1
LINCOLN, NE
ZIP 68505-429
Phone: (404) 464-3900
Fax: (402) 464-3910

The provider's authorized official is Curt William White .
The authorized official title is Owner and has the following contact phone number (402) 464-3900.

The CLIA number assigned to this NPI record is 28D2107978 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 10/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025085200MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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