Clement Coovi
Individual provider Active NPI Developmental Disabilities Clinic/Center · Bennington, NE
NPI 1124827282 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1124827282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Practice address
- 8924 N 161St St
Bennington, NE 68007-6414 - Phone
- (402) 590-3589
- NPI assigned
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
8924 N 161St St
Bennington, NE 68007-6414
Mailing address
5720 S 77TH St
Ralston, NE 68127-4202
Phone (531) 200-0563
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All providers in Bennington, NE · Developmental Disabilities Clinic/Center in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.