NPIMap

Organization Active NPI

4G Enterprises, LLC

Doing business as Rockbrook Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1033544267
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
22148 Issued in NE
Legal business name
4G ENTERPRISES, LLC
Doing business as
Rockbrook Urgent Care
Practice address
2821 S 108TH St
Omaha, NE 68144-4802
Phone
(402) 933-8201
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle R Mertz
Title
Owner
Phone
(402) 933-8201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 22148 NE Primary
Urgent Care Clinic/Center 261QU0200X 111066 NE
Urgent Care Clinic/Center 261QU0200X 1737 NE

Addresses

Primary practice location

2821 S 108TH St
Omaha, NE 68144-4802

Mailing address

2821 S 108TH St
Omaha, NE 68144-4802
Phone (402) 933-8201

Other names 1

  • Rockbrook Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131126000431 NE Part B Supplier - Clinic/Group Practice 4789810508 Receives reassigned benefits from 31 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

2717 S 108th St
Ste 200
Omaha, NE 68144
Phone (402) 933-8201

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1033544267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444802",
            "telephone_number": "402-933-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444802",
            "telephone_number": "402-933-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4G ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-933-8201"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "22148",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "111066",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "1737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockbrook Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.