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Organization
ALIGN CARE
Active
Organization
ALIGN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDRA LYNN WILKINS (OPERATIONS MANAGER)
(402) 881-0081
Entity
Organization
Contact information
Practice address
4102 WOOLWORTH AVE, SUITE 100, OMAHA, NE 68105-1851
(402) 594-5550
(888) 491-9836
Mailing address
7914 W DODGE RD, #404, OMAHA, NE 68114-3417
(402) 881-0081
(800) 761-7015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
171W00000X
Contractor
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262296-00
—
NE
05
—
1730466228
—
IA
Enumeration date
11/10/2011
Last updated
10/06/2014
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