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CENTRAL PLAINS ENT PC NPI 1245391119


NPI Information

NPI: 1245391119
Provider Name: CENTRAL PLAINS ENT, PC

Doing Business As: CENTRAL PLAINS ENT & AUDIOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8005 FARNAM DR
SUITE 204
OMAHA, NE
ZIP 68114
Phone: (402) 502-6970
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CENTRAL PLAINS ENT, PC is a specialist in Omaha, NE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL PLAINS ENT, PC NPI is 1245391119. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Plains Ent & Audiology.

The provider's business location address is:

8005 FARNAM DR
SUITE 204
OMAHA, NE
ZIP 68114-426
Phone: (402) 502-6970
Fax: (402) 502-6930

The provider's authorized official is Iris J Moore .
The authorized official title is President and has the following contact phone number (402) 502-6970.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/2/2008.


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
1174400000XSpecialistYes

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
16520013MEDICAIDSOUTH DAKOTA
20561399MEDICAIDIOWA
311798MEDICAIDNORTH DAKOTA
4S41554MEDICARE PINSOUTH DAKOTA
5I8264MEDICARE PINIOWA
6099241MEDICARE PINNEBRASKA
7=========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

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