Organization
BLUESTEM HEALTH
Active
Other names
Bluestem Health Kreshel Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LEE MEYER (CEO)
(402) 470-5424
Entity
Organization
Contact information
Practice address
3100 N 14TH ST, LINCOLN, NE 68521-2134
(402) 476-1455
(402) 476-1670
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026494204
—
NE
05
—
10026494206
—
NE
Enumeration date
11/28/2018
Last updated
01/27/2025
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