Bellevue Health and Emergency Clinic, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15162 Issued in NE

Legal business name

BELLEVUE HEALTH AND EMERGENCY CLINIC, INC.

Doing business as

Bellevue Health Center

Practice address

1002 W Mission Ave
Bellevue, NE 68005-3947

Phone

(402) 292-4164

Fax

(402) 291-4643

NPI assigned

Feb 22, 2008

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lou Clark Carhart

Title

President/Administrator

Phone

(402) 292-4164

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• BELLEVUE HEALTH CENTER Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1700055704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W MISSION AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053947",
            "telephone_number": "402-292-4164",
            "fax_number": "402-291-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MISSION AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053947",
            "telephone_number": "402-292-4164",
            "fax_number": "402-291-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE HEALTH AND EMERGENCY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CARHART",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "402-292-4164",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NE",
            "license": "15162",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "15162",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "15162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996926",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLEVUE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bellevue Obstetrics and Gynecology Associates PC
• Bellevue Operating Company LLC
• Bellevue Optical Inc.
• Bellevue Oral and Maxillofacial Surgery

• General Practice Physician in Bellevue, NE
• Providers in Bellevue, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.