NPIMap

Organization Active NPI

Hydr8, LLC

Doing business as West Omaha Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1922735406
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HYDR8, LLC
Doing business as
West Omaha Urgent Care
Practice address
18210 Wright St
Omaha, NE 68130-2883
Phone
(402) 926-9637
Fax
(402) 895-2036
NPI assigned
Aug 4, 2022
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Michelle Mertz
Title
Owner
Phone
(402) 926-9637

Specialties & licenses 1

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

Addresses

Primary practice location

18210 Wright St
Omaha, NE 68130-2883

Mailing address

PO Box 815
Boys Town, NE 68010-0815
Phone (402) 926-9637

Other names 1

  • West Omaha Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://.urgentcareomaha.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230417001059 NE Part B Supplier - Clinic/Group Practice 1456726884 Receives reassigned benefits from 37 practitioners
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2030256West Omaha Urgent Care18210 Wright Street, Omaha, NE 68130Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

18210 Wright St
Omaha, NE 68130
Phone (531) 999-1813

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1922735406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680100815",
            "telephone_number": "402-926-9637",
            "fax_number": "402-895-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302883",
            "telephone_number": "402-926-9637",
            "fax_number": "402-895-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDR8, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-926-9637"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://.urgentcareomaha.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18210 Wright St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681302883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Omaha Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 4, 2022; 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.

Verify at the official NPI Registry.