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NEBRASKA HEALTH AND WELLNESS CLINIC LLC NPI 1679047955


NPI Information

NPI: 1679047955
Provider Name: NEBRASKA HEALTH AND WELLNESS CLINIC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 28D0916709

Address:
1112 VERGES AVE
NORFOLK, NE
ZIP 68701
Phone: (402) 315-7538
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NEBRASKA HEALTH AND WELLNESS CLINIC LLC is a general practice in Norfolk, NE. NEBRASKA HEALTH AND WELLNESS CLINIC LLC NPI is 1679047955. The provider is registered as an organization entity type.

The provider's business location address is:

1112 VERGES AVE
NORFOLK, NE
ZIP 68701-853
Phone: (402) 315-7538

The provider's authorized official is Jose Luis Nuno .
The authorized official title is Owner and has the following contact phone number (402) 315-7538.

The CLIA number assigned to this NPI record is 28D0916709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2019 and was last updated on 4/5/2019.


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
1261QP2300XClinic/CenterPrimary CareNo
2208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.