NPIMap

Organization Active NPI

Premier Urgent Care/Family Care of Nebraska LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1619354511
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
12191 Issued in NE
Legal business name
PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC
Practice address
4004 N 132ND St Ste 101
Omaha, NE 68164-1838
Phone
(402) 681-8043
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Larry Luther Hald, M.D.
Title
Owner
Phone
(402) 681-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 12191 NE Primary

Addresses

Primary practice location

4004 N 132ND St Ste 101
Omaha, NE 68164-1838

Mailing address

4004 N 132ND St Ste 101
Omaha, NE 68164-1838
Phone (402) 681-8043

Other identifiers 1

IdentifierTypeStateIssuer
470725225-00MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1619354511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 N 132ND ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641838",
            "telephone_number": "402-681-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 N 132ND ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641838",
            "telephone_number": "402-681-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "HALD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-681-8044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NE",
            "license": "12191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470725225-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.