Active NPI
Hydr8, LLC
- Urgent Care Clinic/Center
- Omaha, NE
National Provider Identifier
1922735406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- HYDR8, LLC
- Practice address
- 18210 Wright St
Omaha, NE 68130-2883 - Phone
- (402) 926-9637
- Fax
- (402) 895-2036
- NPI assigned
- Aug 4, 2022
- 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
- Michelle Mertz
- Title
- Owner
- Phone
- (402) 926-9637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://.urgentcareomaha.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 28D2030256 | West Omaha Urgent Care | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 37
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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.