NPIMap

Organization Active NPI

Urgent Care Clinic of Lincoln, PC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1114341948
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20088 Issued in NE
Legal business name
URGENT CARE CLINIC OF LINCOLN, PC
Practice address
4210 Pioneer Woods Dr
Ste a
Lincoln, NE 68506-7561
Phone
(402) 488-4321
Fax
(402) 488-4355
NPI assigned
Feb 14, 2014
Last updated
Jul 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Donald T Rice, MDNPI 1548263460
Title
President
Phone
(402) 488-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20088 NE Primary

Addresses

Primary practice location

4210 Pioneer Woods Dr
Ste a
Lincoln, NE 68506-7561

Mailing address

4210 Pioneer Woods Dr
Ste a
Lincoln, NE 68506-7561
Phone (402) 488-4321

Other identifiers 1

IdentifierTypeStateIssuer
DD9926OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050927000971 NE Part B Supplier - Clinic/Group Practice 7214962455 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE
O20110509000432 NE DME Supplier - Physician - Unknown Physician Specialty 7214962455 1 other NPI on this enrollment
Practice locations: Lincoln, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1114341948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR",
            "address_2": "STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067561",
            "telephone_number": "402-488-4321",
            "fax_number": "402-488-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR",
            "address_2": "STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067561",
            "telephone_number": "402-488-4321",
            "fax_number": "402-488-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CLINIC OF LINCOLN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-488-4321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9926",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.