Organization Active NPI

Mid Nebraska Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kearney, NE
National Provider Identifier
1124029236
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID NEBRASKA MOBILITY, INC.
Practice address
2215 Central Ave
Kearney, NE 68847-5346
Phone
(308) 237-0605
Fax
(308) 237-0608
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Greg Lane Zimbelman
Title
President/Owner
Phone
(308) 237-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NE Primary

Addresses

Primary practice location

2215 Central Ave
Kearney, NE 68847-5346

Mailing address

2215 Central Ave
Kearney, NE 68847-5346
Phone (308) 237-0605

Other identifiers 2

IdentifierTypeStateIssuer
36998OtherNEBCBS PROVIDER NUMBER
10025156900MedicaidNE

National Provider Directory

National Provider Directory

Locations

2215 Central Ave
Kearney, NE 68847
Phone (308) 237-0605

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1124029236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475346",
            "telephone_number": "308-237-0605",
            "fax_number": "308-237-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475346",
            "telephone_number": "308-237-0605",
            "fax_number": "308-237-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID NEBRASKA MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "ZIMBELMAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "308-237-0605"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "36998",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025156900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.