Physicians Clinic, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Omaha, NE

NPI 1124118385 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1124118385
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
PHYSICIANS CLINIC, INC.
Practice address
10060 Regency Circle
Omaha, NE 68114
Phone
(402) 354-1500
Fax
(402) 354-5621
NPI assigned
Oct 16, 2006
Organization subpart
Yes
Parent organization (as reported)
PHYSICIANS CLINIC, INC.

Authorized official

Name
Mr. Todd D. Grages
Title
President
Phone
(402) 354-5601

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 558

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 558

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930022505 NE DME Supplier - Multi-Specialty - Physician
DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist
4880506062 1 other NPI on this enrollment
Practice locations: Omaha, NE

National Provider Directory

Tax ID family
James Horrocks MD (15 organizations share this tax ID)
Part of
James Horrocks MD

Specialties & licenses

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

Addresses

Primary practice location

10060 Regency Circle
Omaha, NE 68114

Mailing address

8601 West Dodge Road
Suite # 216
Omaha, NE 68114
Phone (402) 354-4822

Other names

  • Methodist Physicians Clinic Doing business as

Other providers in Omaha, NE

All providers in Omaha, NE · Durable Medical Equipment & Medical Supplies in Nebraska

Sources for this page

Verify at the official NPI Registry.