# FAITH REGIONAL PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAITH REGIONAL PHYSICIAN SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689169344
- **Legal business name:** FAITH REGIONAL PHYSICIAN SERVICES, LLC
- **Authorized official:** PATRICK ROCHE (C.O.O.)
- **Authorized official phone:** (402) 844-8121

## Contact information

- **Practice address:** 110 N 29TH ST STE 201, NORFOLK, NE 68701-4461
- **Practice address phone:** (402) 844-8385
- **Practice address fax:** (402) 844-8121
- **Mailing address:** 110 N 29TH ST STE 201, NORFOLK, NE 68701-4461
- **Mailing address phone:** (402) 844-8385
- **Mailing address fax:** (402) 844-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 06/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PENDING | BCBS | NE |