Organization Active NPI

Comper Care Outpatient Center Inc

  • Preferred Provider Organization
  • Plattsmouth, NE
National Provider Identifier
1265975460
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
COMPER CARE OUTPATIENT CENTER INC
Practice address
205 S 23Rd St
Suite 1
Plattsmouth, NE 68048-2900
Phone
(402) 298-4555
Fax
(402) 298-4123
NPI assigned
Nov 21, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Jennifer Glup
Title
Business Office Manager
Phone
(402) 298-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NE Primary

Addresses

Primary practice location

205 S 23Rd St
Suite 1
Plattsmouth, NE 68048-2900

Mailing address

205 S 23Rd St
Suite 1
Plattsmouth, NE 68048-2900
Phone (402) 298-4555

Other identifiers 1

IdentifierTypeStateIssuer
1487013306MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1265975460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 23RD ST",
            "address_2": "SUITE 1",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482900",
            "telephone_number": "402-298-4555",
            "fax_number": "402-298-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 23RD ST",
            "address_2": "SUITE 1",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482900",
            "telephone_number": "402-298-4555",
            "fax_number": "402-298-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPER CARE OUTPATIENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "GLUP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "402-298-4555"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487013306",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.