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HEARTLAND FAMILY FIRST MEDICAL CLINIC LLC NPI 1790140556


NPI Information

NPI: 1790140556
Provider Name: HEARTLAND FAMILY FIRST MEDICAL CLINIC, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 28D2115127

Address:
14421 DUPONT CT
OMAHA, NE
ZIP 68144
Phone: (402) 578-2512
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HEARTLAND FAMILY FIRST MEDICAL CLINIC, LLC is a pediatrics in Omaha, NE. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HEARTLAND FAMILY FIRST MEDICAL CLINIC, LLC NPI is 1790140556. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14421 DUPONT CT
OMAHA, NE
ZIP 68144-100
Phone: (402) 578-2512

The provider's authorized official is Tom Whitcomb .
The authorized official title is Administrator and has the following contact phone number (402) 578-2512.

The CLIA number assigned to this NPI record is 28D2115127 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 1/6/2016.


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 MedicineNo
2208D00000XGeneral PracticeNo
3208000000XPediatricsYes

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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