Organization
NEBRASKA MEDICAL MART II INC
Active
Other names
Nebraska Medical Mart
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCDERMOTT (PRESIDENT)
(402) 727-4270
Entity
Organization
Contact information
Practice address
1451 N BELL ST, FREMONT, NE 68025-3534
(402) 727-4270
(402) 727-7682
Mailing address
1451 N BELL ST, FREMONT, NE 68025-3534
(402) 727-4270
(402) 727-7682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08826
BCBS
—
05
—
10026071900
—
NE
05
—
47071108200
—
NC
01
—
8200149
UHC
—
Enumeration date
10/31/2006
Last updated
09/23/2013
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