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MIDWEST MINOR MEDICAL PC NPI 1770677601


NPI Information

NPI: 1770677601
Provider Name: MIDWEST MINOR MEDICAL PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 28D2120174

Address:
14104 S ST
OMAHA, NE
ZIP 68137
Phone: (402) 827-6710
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MIDWEST MINOR MEDICAL PC is an urgent care clinic center in Omaha, NE. MIDWEST MINOR MEDICAL PC NPI is 1770677601. The provider is registered as an organization entity type.

The provider's business location address is:

14104 S ST
OMAHA, NE
ZIP 68137-636
Phone: (402) 827-6710
Fax: (402) 827-6731

The provider's authorized official is Louise A Winter .
The authorized official title is President and has the following contact phone number (402) 964-2332.

The CLIA number assigned to this NPI record is 28D2120174 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/10/2022.


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
1261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

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