Organization
PHYSICIANS CLINIC, INC.
Active
Parent organization
NEBRASKA METHODIST HEALTH SYSTEMS
Other names
Methodist Physicians Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEBRASKA METHODIST HEALTH SYSTEMS
Authorized official
TODD D. GRAGES (PRESIDENT)
(402) 354-5609
Entity
Organization
Contact information
Practice address
717 N 190TH PLZ, ELKHORN, NE 68022-3974
(402) 815-1700
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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