PHYSICIANS CLINIC INC NPI 1720606932

NPI Information

NPI: 1720606932
Provider Name: PHYSICIANS CLINIC INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 28D1015690

Address:
9850 NICHOLAS ST STE 100
OMAHA, NE
ZIP 68114
Phone: (402) 343-1122
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PHYSICIANS CLINIC INC is an ambulatory surgical clinic center in Omaha, NE. PHYSICIANS CLINIC INC NPI is 1720606932. The provider is registered as an organization entity type.

The provider's business location address is:

9850 NICHOLAS ST STE 100
OMAHA, NE
ZIP 68114-191
Phone: (402) 343-1122
Fax: (402) 343-1177

The provider's authorized official is Todd Grages .
The authorized official title is President and has the following contact phone number (402) 354-5451.

The CLIA number assigned to this NPI record is 28D1015690 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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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