# TWIN RIVERS URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639248560
- **Authorized official:** BRYAN DAVID NOKELBY MD (MD CEO)
- **Authorized official phone:** (308) 384-2500

## Contact information

- **Practice address:** 720 N WEBB RD, GRAND ISLAND, NE 68803-3310
- **Practice address phone:** (308) 384-2500
- **Practice address fax:** (308) 384-2565
- **Mailing address:** 720 N WEBB RD, GRAND ISLAND, NE 68803-3310
- **Mailing address phone:** (308) 384-2500
- **Mailing address fax:** (308) 842-5653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20673 | NE | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 01/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025335000 | — | NE |