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Organization

FAITH REGIONAL PHYSICIAN SERVICES, LLC

Active
Parent organization
FAITH REGIONAL PHYSICIAN SERVICES, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAITH REGIONAL PHYSICIAN SERVICES, LLC
Authorized official
PATRICK ROCHE (C.O.O.)
(402) 844-8121
Entity
Organization

Contact information

Practice address
110 N 29TH ST STE 201, NORFOLK, NE 68701-4461
(402) 844-8385
(402) 844-8121
Mailing address
110 N 29TH ST STE 201, NORFOLK, NE 68701-4461
(402) 844-8385
(402) 844-8121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
BCBS
NE
Enumeration date
06/26/2018
Last updated
06/26/2018
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