# MIDWEST REGIONAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1831125418
- **Authorized official:** KENNETH L BLAD M.D. (M.D./CEO)
- **Authorized official phone:** (402) 745-1145

## Contact information

- **Practice address:** 2727 S 144TH ST STE 280, OMAHA, NE 68144-5252
- **Practice address phone:** (402) 745-1145
- **Practice address fax:** (833) 985-0140
- **Mailing address:** 2727 S 144TH ST STE 280, OMAHA, NE 68144-5252
- **Mailing address phone:** (402) 745-1145
- **Mailing address fax:** (833) 985-0140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 06/25/2024