GEORGETOWN MEDICAL PC NPI 1376518837

NPI Information

NPI: 1376518837
Provider Name: GEORGETOWN MEDICAL, PC
Classification: Contractor - 171W00000X
Entity Type: Organization
Doing Business As: GEORGETOWN MEDICAL, P.C.
CLIA Number: 28D0999105
Address: 3440 S 50TH ST
OMAHA, NE
ZIP 68106
Phone: (402) 556-3000

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NPI Details

GEORGETOWN MEDICAL, PC is a contractor in Omaha, NE. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. GEORGETOWN MEDICAL, PC NPI is 1376518837. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Georgetown Medical, P.c..

The provider's business location address is:

3440 S 50TH ST
OMAHA, NE
ZIP 68106-829
Phone: (402) 556-3000
Fax: (402) 991-7115

The provider's authorized official is George Stanley Hutfless .
The authorized official title is Owner/physician and has the following contact phone number (402) 556-3000.

The CLIA number assigned to this NPI record is 28D0999105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		218816123	NEBRASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2801-1204	MEDICAID	NEBRASKA
2	18358	OTHER	NEBRASKA	STATE LIC.# G. HUTFLESS
3	1891765004	OTHER	NEBRASKA	GEORGE HUTFLESS,MD NPI #
4	2801-18358	MEDICAID	NEBRASKA
5	2965301	MEDICAID	IOWA
6	508741492	OTHER	NEBRASKA	GEORGE HUTFLESS S.SEC. #

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: 3/30/2025

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