Organization Active NPI

Greater Nebraska Infusion Center, Inc.

  • Clinic Pharmacy
  • Grand Island, NE
National Provider Identifier
1437773777
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
GREATER NEBRASKA INFUSION CENTER, INC.
Practice address
2604 Saint Patrick Ave Ste 6
Grand Island, NE 68803-1313
Phone
(308) 675-7016
Fax
(308) 675-7017
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Jerry Lobeda
Title
President
Phone
(308) 675-7016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2604 Saint Patrick Ave Ste 6
Grand Island, NE 68803-1313

Mailing address

2604 Saint Patrick Ave Ste 6
Grand Island, NE 68803-1313
Phone (308) 675-7016

National Provider Directory

National Provider Directory

Locations

2604 Saint Patrick Ave
Ste 6
Grand Island, NE 68803
Phone (308) 675-7016

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1437773777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT PATRICK AVE STE 6",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031313",
            "telephone_number": "308-675-7016",
            "fax_number": "308-675-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT PATRICK AVE STE 6",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031313",
            "telephone_number": "308-675-7016",
            "fax_number": "308-675-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEBRASKA INFUSION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "LOBEDA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-675-7016"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2020; 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.