NPI 1215066568 · live from the CMS NPI Registry
Alegent Health Quick Care LLC
Family Medicine in Omaha, NE. National Provider Identifier 1215066568, active.
NPI record
| NPI | 1215066568 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3410 N 156th St, Omaha, NE 68116 |
| Practice phone | 888-333-7520 |
| Mailing address | 7261 Mercy Rd, Attn: Credentialing, Omaha, NE 68124 |
| Enumerated | March 4, 2007 |
| Last updated | April 3, 2018 |
| Authorized official | Keith Jankuski, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.