Organization
PROMEDCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY FOXHOVEN (OWNER/VP)
(402) 727-7900
Entity
Organization
Contact information
Practice address
3100 23RD ST, SUITE 4, COLUMBUS, NE 68601-3161
(402) 564-7900
(402) 564-7904
Mailing address
426 E 22ND ST, FREMONT, NE 68025-2633
(402) 727-7900
(402) 727-7904
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11689277
—
NE
Enumeration date
06/11/2014
Last updated
01/24/2022
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