Physicians Clinic, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Omaha, NE
NPI 1235229477 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1235229477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PHYSICIANS CLINIC, INC.
- Practice address
- 8901 W Dodge Rd
Suite #100
Omaha, NE 68114-3327 - Phone
- (402) 354-1700
- NPI assigned
- Oct 16, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEBRASKA METHODIST HEALTH SYSTEM
Authorized official
- Name
- Mr. Todd D. Grages
- Title
- President
- Phone
- (402) 354-5601
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Paige S Charleston, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930036737 | NE | DME Supplier - Physician - Cardiology |
4880506062 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Omaha, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
8901 W Dodge Rd
Suite #100
Omaha, NE 68114-3327
Mailing address
8601 West Dodge Road
Suite # 216
Omaha, NE 68114
Phone (402) 354-4822
Other names
- Methodist Physicians Clinic
Other providers in Omaha, NE
- Physicians Clinic Inc
- Physicians Clinic Inc
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
- Physicians Clinic, Inc.
All providers in Omaha, NE · Durable Medical Equipment & Medical Supplies in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.