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BELLEVUE HEALTH AND EMERGENCY CLINIC INC. NPI 1700055704


NPI Information

NPI: 1700055704
Provider Name: BELLEVUE HEALTH AND EMERGENCY CLINIC, INC.

Doing Business As: BELLEVUE HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 28D0453381

Address:
1002 W MISSION AVE
BELLEVUE, NE
ZIP 68005
Phone: (402) 292-4164
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BELLEVUE HEALTH AND EMERGENCY CLINIC, INC. is a general practice in Bellevue, NE. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BELLEVUE HEALTH AND EMERGENCY CLINIC, INC. NPI is 1700055704. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bellevue Health Center.

The provider's business location address is:

1002 W MISSION AVE
BELLEVUE, NE
ZIP 68005-947
Phone: (402) 292-4164
Fax: (402) 291-4643

The provider's authorized official is Mary Lou Clark Carhart .
The authorized official title is President/administrator and has the following contact phone number (402) 292-4164.

The CLIA number assigned to this NPI record is 28D0453381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 10/21/2015.


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
1207VG0400XObstetrics & GynecologyGynecology15162NEBRASKANo
2208600000XSurgery15162NEBRASKANo
3208D00000XGeneral Practice15162NEBRASKAYes

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
1087281MEDICARE PIN
2A65468MEDICARE UPIN
3=========00MEDICAIDNEBRASKA
40000087281MEDICARE NSC
50996926MEDICAIDIOWA

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

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.