Kubat Clinical Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KUBAT CLINICAL SERVICES, LLC

Practice address

4924 Center St
Omaha, NE 68106-3219

Phone

(402) 558-8888

Fax

(402) 558-7388

NPI assigned

Aug 14, 2020

Organization subpart

Yes

Parent organization

PERCIPIO KP HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Brian Paul Daniel

Title

Chief Operating Officer

Phone

(402) 315-1944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1083225817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219",
            "telephone_number": "402-558-8888",
            "fax_number": "402-558-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219",
            "telephone_number": "402-558-8888",
            "fax_number": "402-558-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO KP HOLDINGS, LLC",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "402-315-1944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sher Ku
• Ta Ku
• Ta Mla Ku
• Tee Shee Ku
• Sarah M Kuag
• Kubat Custom Health Care, LLC
• Kubat Pharmacy, LLC
• Kubat Pharmacy, LLC
• Kubat Pharmacy, LLC
• Patricia Ann Kubat

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.