Organization
PREMIER URGENT CARE/FAMILY CARE OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY LUTHER HALD M.D. (OWNER)
(402) 681-8044
Entity
Organization
Contact information
Practice address
4004 N 132ND ST STE 101, OMAHA, NE 68164-1838
(402) 681-8043
Mailing address
4004 N 132ND ST STE 101, OMAHA, NE 68164-1838
(402) 681-8043
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
12191
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470725225-00
—
NE
Enumeration date
04/29/2015
Last updated
04/29/2015
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