NPIMap

Organization Active NPI

Childrens Medical Center

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1720845894
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDRENS MEDICAL CENTER
Practice address
1230 S 10TH St
Omaha, NE 68108-3602
Phone
(256) 810-1085
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mr. Samuel LL Coleman, MLS
Title
Medical Laboratory Scientists
Phone
(256) 810-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1230 S 10TH St
Omaha, NE 68108-3602

Mailing address

1230 S 10TH St
Omaha, NE 68108-3602
Phone (256) 810-1085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1720845894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S 10TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681083602",
            "telephone_number": "256-810-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S 10TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681083602",
            "telephone_number": "256-810-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LL",
        "authorized_official_title_or_position": "MEDICAL LABORATORY SCIENTISTS",
        "authorized_official_telephone_number": "256-810-1085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MLS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 4, 2024; 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.