ENCOUNTER TELEHEALTH LLC NPI 1922342195

NPI Information

NPI: 1922342195
Provider Name: ENCOUNTER TELEHEALTH, LLC

Former Legal Business Name: PROVIDER SOURCE, LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
900 S 74TH PLZ STE 403
OMAHA, NE
ZIP 68114
Phone: (844) 485-3041
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ENCOUNTER TELEHEALTH, LLC is a multi-specialty clinic center in Omaha, NE. ENCOUNTER TELEHEALTH, LLC NPI is 1922342195. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Provider Source, Llc.

The provider's business location address is:

900 S 74TH PLZ STE 403
OMAHA, NE
ZIP 68114-667
Phone: (844) 485-3041
Fax: (888) 497-4233

The provider's authorized official is Jennifer Amis .
The authorized official title is President & Ceo and has the following contact phone number (402) 590-2548.

The enumeration date for this NPI number is 11/12/2012 and was last updated on 3/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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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