NPIMap

Physicians Clinic Inc

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

NPI 1366060105 · NPPES record last updated Jul 8, 2020

Key facts

NPI
1366060105
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
PHYSICIANS CLINIC INC
Practice address
20021 Manderson St
Elkhorn, NE 68022-3233
Phone
(402) 815-6600
NPI assigned
Jul 8, 2020
Organization subpart
No

Authorized official

Name
Keri Charron
Title
Director
Phone
(402) 354-5602

Corporate family (same tax ID) 14

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2191463Methodist Physicians Clinic - Elkhorn
20021 Manderson St, Elkhorn, NE 68022		AccreditationAug 10, 2027

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

20021 Manderson St
Elkhorn, NE 68022-3233

Mailing address

PO Box 3755
Omaha, NE 68103-0755

Other names

  • Methodist Physicians Clinic Doing business as

Other providers in Elkhorn, NE

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

Sources for this page

Verify at the official NPI Registry.