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ESSENTIAL FAMILY MEDICINE OF OMAHA LLC NPI 1407225477


NPI Information

NPI: 1407225477
Provider Name: ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D2104740

Address:
17520 WRIGHT ST
SUITE 105
OMAHA, NE
ZIP 68130
Phone: (402) 991-5353
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ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC is a family medicine in Omaha, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC NPI is 1407225477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17520 WRIGHT ST
SUITE 105
OMAHA, NE
ZIP 68130-657
Phone: (402) 991-5353
Fax: (402) 991-5444

The provider's authorized official is Lynn Andersen .
The authorized official title is Practice Administrator and has the following contact phone number (402) 319-5298.

The CLIA number assigned to this NPI record is 28D2104740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 12/8/2015.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

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