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GEORGETOWN MEDICAL PC NPI 1376518837


NPI Information

NPI: 1376518837
Provider Name: GEORGETOWN MEDICAL, PC

Doing Business As: GEORGETOWN MEDICAL, P.C.

Classification: Contractor - 171W00000X
Entity Type: Organization

CLIA Number: 28D0999105

Address:
3440 S 50TH ST
OMAHA, NE
ZIP 68106
Phone: (402) 556-3000
Get Directions

GEORGETOWN MEDICAL, PC is a contractor in Omaha, NE. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171W00000XContractor218816123NEBRASKAYes

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
12801-1204MEDICAIDNEBRASKA
218358OTHERNEBRASKASTATE LIC.# G. HUTFLESS
31891765004OTHERNEBRASKAGEORGE HUTFLESS,MD NPI #
42801-18358MEDICAIDNEBRASKA
52965301MEDICAIDIOWA
6508741492OTHERNEBRASKAGEORGE 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: 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.