Organization Active NPI

Mid Nebraska Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Grand Island, NE
National Provider Identifier
1427594498
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID NEBRASKA MOBILITY INC
Practice address
1104 W 3Rd St
Grand Island, NE 68801-5834
Phone
(308) 675-3380
Fax
(308) 675-3381
NPI assigned
Jan 13, 2017
Organization subpart
Yes
Parent organization
MID NEBRASKA MOBILITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mr. Greg L Zimbelman
Title
Owner
Phone
(308) 237-0605

Specialties & licenses 1

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

Addresses

Primary practice location

1104 W 3Rd St
Grand Island, NE 68801-5834

Mailing address

1104 W 3Rd St
Grand Island, NE 68801-5834
Phone (308) 675-3380

Other identifiers 1

IdentifierTypeStateIssuer
100251569-00MedicaidNE

National Provider Directory

National Provider Directory
Part of
Mid Nebraska Mobility Inc

Locations

1104 W 3rd St
Grand Island, NE 68801
Phone (308) 675-3380

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1427594498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 3RD ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015834",
            "telephone_number": "308-675-3380",
            "fax_number": "308-675-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 3RD ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015834",
            "telephone_number": "308-675-3380",
            "fax_number": "308-675-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID NEBRASKA MOBILITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID NEBRASKA MOBILITY INC",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ZIMBELMAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-237-0605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251569-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.