Organization
ME URGENT CARE NEBRASKA, INC
Active
Other names
MedExpress Urgent Care - La Vista, S 84th St
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
8124 S 84TH ST, LA VISTA, NE 68128-3305
(402) 339-4485
(402) 339-4021
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026545602
—
NE
Enumeration date
12/29/2016
Last updated
05/30/2017
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