Organization
FIFTY MED NE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRIN MALIK FERGUSON (FOUNDER)
(402) 318-7454
Entity
Organization
Contact information
Practice address
20164 HUSKER DR STE 1, GRETNA, NE 68028-8085
(402) 318-7454
Mailing address
20164 HUSKER DR STE 1, GRETNA, NE 68028-8085
(402) 318-7454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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