BELLEVUE PRIMARY HEALTHCARE PC NPI 1497091888

NPI Information

  • NPI: 1497091888
  • Provider Name: BELLEVUE PRIMARY HEALTHCARE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 12717 S 28TH AVE
    BELLEVUE, NE
    ZIP 68123
  • Phone: (402) 525-6976

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NPI Details

BELLEVUE PRIMARY HEALTHCARE PC is a family medicine in Bellevue, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BELLEVUE PRIMARY HEALTHCARE PC NPI is 1497091888. The provider is registered as an organization entity type and is a multi-specialty group.

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 4/24/2024.

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
1207Q00000XFamily MedicineYes
2261QP2300XClinic/CenterPrimary Care111265NEBRASKANo

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: 11/21/2025

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