Physicians Clinic Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Omaha, NE
NPI 1972120004 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1972120004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PHYSICIANS CLINIC INC
- Practice address
- 6700 Mercy Rd Ste 109
Omaha, NE 68106-2613 - Phone
- (402) 354-6675
- Fax
- (402) 354-6680
- NPI assigned
- Jul 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Keri Charron
- Title
- Director
- Phone
- (402) 354-5602
Corporate family (same tax ID) 14
Practitioners 3
-
Troy Beekman, NP-C
-
Samantha J Harris, APRN
-
Ashley Nicole Jensen, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2191542 | Methodist Physicians Clinic Urgent Care - Aksarben | Certificate of waiver | Aug 27, 2026 |
National Provider Directory
- Tax ID family
- James Horrocks MD
Locations
6700 Mercy Rd
Ste 109
Omaha, NE 68106
Phone (402) 354-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
6700 Mercy Rd Ste 109
Omaha, NE 68106-2613
Mailing address
PO Box 3755
Omaha, NE 68103-0755
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All providers in Omaha, NE · Durable Medical Equipment & Medical Supplies in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.