Active NPI
Twin Rivers Urgent Care LLC
- Family Medicine Physician
- Hastings, NE
National Provider Identifier
1942857883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TWIN RIVERS URGENT CARE LLC
- Practice address
- 3203 Osborne Dr W Ste 101
Hastings, NE 68901-9140 - Phone
- (402) 834-1005
- Fax
- (402) 303-1022
- NPI assigned
- Aug 26, 2019
- Last updated
- Aug 26, 2019
- 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
- Connie Ann Mills
- Title
- Dir of Ops
- Phone
- (308) 384-2282
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Urgent Care Clinic/Center | 261QU0200X | NU |
Addresses
Primary practice location
3203 Osborne Dr W Ste 101
Hastings, NE 68901-9140
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 |
|---|---|---|---|---|
| O20191009002569 | NE | DME Supplier - Physician - Family Practice | 6406860543 | Practice locations: Hastings, 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
National Provider Directory
National Provider DirectoryNPI 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": "1566777600000",
"number": "1942857883",
"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": "3203 OSBORNE DR W STE 101",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689019140",
"telephone_number": "402-834-1005",
"fax_number": "402-303-1022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN RIVERS URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIR OF OPS",
"authorized_official_telephone_number": "308-384-2282"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.