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MIDWEST URGENT CARELLC NPI 1639678303


NPI Information

NPI: 1639678303
Provider Name: MIDWEST URGENT CARE,LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 28D0982366

Address:
727 N 120TH ST
OMAHA, NE
ZIP 68154
Phone: (402) 493-2100
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MIDWEST URGENT CARE,LLC is a general practice in Omaha, NE. MIDWEST URGENT CARE,LLC NPI is 1639678303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

727 N 120TH ST
OMAHA, NE
ZIP 68154-212
Phone: (402) 493-2100

The provider's authorized official is Vijay K Agarwal .
The authorized official title is Owner and has the following contact phone number (402) 493-2100.

The CLIA number assigned to this NPI record is 28D0982366 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/7/2018 and was last updated on 2/7/2018.


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
1208D00000XGeneral Practice16006NEBRASKAYes

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
11205257821MEDICAIDNEBRASKA

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

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.