Organization
MEDIFAST URGENT CARE LLC
Active
Parent organization
MEDIFAST URGENT CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIFAST URGENT CARE LLC
Authorized official
JON ROBERT WILSON (OWNER)
(402) 965-4000
Entity
Organization
Contact information
Practice address
3830 N 167TH CT, OMAHA, NE 68116-8064
(402) 965-4000
(402) 965-4001
Mailing address
3830 N 167TH CT, OMAHA, NE 68116-8064
(402) 965-4000
(402) 965-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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