Active NPI
Twin Rivers Urgent Care LLC
- Family Medicine Physician
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TWIN RIVERS URGENT CARE LLC
- Practice address
- 750 Allen Dr
Grand Island, NE 68803-3328 - Phone
- (308) 384-2500
- Fax
- (308) 384-2565
- NPI assigned
- Aug 26, 2019
- Last updated
- Jan 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Drew Schreiber
- Title
- Director of Operations
- Phone
- (308) 384-2500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
750 Allen Dr
Grand Island, NE 68803-3328
Mailing address
720 N Webb Rd
Grand Island, NE 68803-3310
Phone (308) 384-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181217002312 | NE | DME Supplier - Physician - General Practice | 6406860543 | Practice locations: Grand Island, NE |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Twin Rivers Sports & Family Medicine
- Family Medicine Physician
- Grand Island, NE
- NPI 1588310338
6406860543
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2064482 | Twin Rivers Urgent Care, LLC | Compliance | Mar 2, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Twin Rivers Urgent Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Twin Rivers Sports & Family Medicine
- Family Medicine Physician
- Grand Island, NE
- NPI 1588310338
-
- Primary Care Clinic/Center
- North Platte, NE
- NPI 1831507409
Locations
720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500
750 Allen Dr
Grand Island, NE 68803
Phone (308) 382-9969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1851948798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N WEBB RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033310",
"telephone_number": "308-384-2282",
"fax_number": "308-384-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 ALLEN DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033328",
"telephone_number": "308-384-2500",
"fax_number": "308-384-2565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN RIVERS URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "SCHREIBER",
"authorized_official_first_name": "DREW",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "308-384-2500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.