NPIMap

Organization Active NPI

Harlan Medical, LLC

Doing business as Bellevue Urgent Care

  • Urgent Care Clinic/Center
  • Bellevue, NE
National Provider Identifier
1487089611
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
22162 Issued in NE
Legal business name
HARLAN MEDICAL, LLC
Doing business as
Bellevue Urgent Care
Practice address
1307 Harlan Dr
Bellevue, NE 68005-3699
Phone
(402) 291-8701
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Michelle R Mertz
Title
Owner
Phone
(402) 291-8701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 22162 NE Primary
Urgent Care Clinic/Center 261QU0200X 1447 NE

Addresses

Primary practice location

1307 Harlan Dr
Bellevue, NE 68005-3699

Mailing address

1307 Harlan Dr
Bellevue, NE 68005-3699
Phone (402) 291-8701

Other names 1

  • Bellevue Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140110000297 NE Part B Supplier - Clinic/Group Practice 8628206034 Receives reassigned benefits from 30 practitioners
Practice locations: Bellevue, NE

National Provider Directory

National Provider Directory

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1487089611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053699",
            "telephone_number": "402-291-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053699",
            "telephone_number": "402-291-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-291-8701"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "22162",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "1447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.