Organization
PHYSICIANAS CLINIC, INC.
Active
Parent organization
NE METHODIST HEALTH SYSTEM
Other names
Methodist Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NE METHODIST HEALTH SYSTEM
Authorized official
TODD D GRAGES (PRESIDENT)
(402) 354-5609
Entity
Organization
Contact information
Practice address
515 N 162ND AVE, STE. 300, OMAHA, NE 68118-2539
(402) 393-6624
(402) 393-6635
Mailing address
8601 W DODGE RD, SUITE #216, OMAHA, NE 68114-3457
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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