NPI 1598147266 · live from the CMS NPI Registry
Fresh Start Private Midwest LLC
Anesthesiology, Pain Medicine in Omaha, NE. National Provider Identifier 1598147266, active.
NPI record
| NPI | 1598147266 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 2827 S 88th St, Omaha, NE 68124 |
| Practice phone | 402-884-1221 |
| Enumerated | June 18, 2015 |
| Last updated | June 18, 2015 |
| Authorized official | Griffith Evans, Medical Director |
| Other names | Start Fresh Alcohol Recovery Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine primary | 207LP2900X | 207LPZ900X (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.