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FOOT CARE CENTER PC NPI 1063741114


NPI Information

NPI: 1063741114
Provider Name: FOOT CARE CENTER, PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1540 NORTH BELL STREET
FREMONT, NE
ZIP 68025
Phone: (402) 721-7171
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FOOT CARE CENTER, PC is a foot surgery podiatrist in Fremont, NE. FOOT CARE CENTER, PC NPI is 1063741114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1540 NORTH BELL STREET
FREMONT, NE
ZIP 68025-537
Phone: (402) 721-7171
Fax: (402) 721-7233

The provider's authorized official is Charles M Halverson .
The authorized official title is Doctor Of Podiatric Medicine and has the following contact phone number (402) 721-7171.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.


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
1213ES0131XPodiatristFoot Surgery226NEBRASKAYes

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
1268444MEDICARE UPINNEBRASKA
2268444MEDICARE PIN
34501080001MEDICARE PINNEBRASKA
4=========00MEDICAIDNEBRASKA

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.