Organization
SOUTH SIDE CONVENIENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA SENANAYAKA PA-C (CLINIC CREDENTIALING CONTACT)
(402) 350-7616
Entity
Organization
Contact information
Practice address
4115 HARRISON ST, BELLEVUE, NE 68147-1059
(402) 932-0692
(402) 614-6731
Mailing address
4115 HARRISON ST, BELLEVUE, NE 68147-1059
(402) 932-0692
(402) 614-6731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026666300
—
NE
Enumeration date
04/20/2017
Last updated
07/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us