PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC NPI 1619354511

NPI Information

NPI: 1619354511
Provider Name: PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4004 N 132ND ST STE 101
OMAHA, NE
ZIP 68164
Phone: (402) 681-8043
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PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC is an urgent care clinic center in Omaha, NE. PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC NPI is 1619354511. The provider is registered as an organization entity type.

The provider's business location address is:

4004 N 132ND ST STE 101
OMAHA, NE
ZIP 68164-838
Phone: (402) 681-8043

The provider's authorized official is Larry Luther Hald .
The authorized official title is Owner and has the following contact phone number (402) 681-8044.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.

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	261QU0200X	Clinic/Center	Urgent Care	12191	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	470725225-00	MEDICAID	NEBRASKA

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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