BELLEVUE PRIMARY HEALTHCARE PC NPI 1497091888

NPI Information

NPI: 1497091888
Provider Name: BELLEVUE PRIMARY HEALTHCARE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12717 S 28TH AVE
BELLEVUE, NE
ZIP 68123
Phone: (402) 525-6976
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BELLEVUE PRIMARY HEALTHCARE PC is a primary care clinic center in Bellevue, NE. BELLEVUE PRIMARY HEALTHCARE PC NPI is 1497091888. The provider is registered as an organization entity type.

The provider's business location address is:

12717 S 28TH AVE
BELLEVUE, NE
ZIP 68123-232
Phone: (402) 525-6976

The provider's authorized official is Kelli Rae Pavlish .
The authorized official title is Nurse Practitioner and has the following contact phone number (402) 525-6976.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 12/12/2012.

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	261QP2300X	Clinic/Center	Primary Care	111265	NEBRASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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