BLUESTEM HEALTH NPI 1184194557

NPI Information

BLUESTEM HEALTH is a federally qualified health center (fqhc) clinic center in Lincoln, NE. BLUESTEM HEALTH NPI is 1184194557. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Bluestem Health Kreshel Clinic.

The provider's business location address is:

3100 N 14TH ST STE 201
LINCOLN, NE
ZIP 68521-134
Phone: (402) 476-1455
Fax: (402) 476-1670

The provider's authorized official is Brad Lee Meyer .
The authorized official title is Ceo and has the following contact phone number (402) 470-5424.

The CLIA number assigned to this NPI record is 28D1017099 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 9/21/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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