| Bryan Medical Center | |
|
2300 S 16th St Lincoln NE 68502-3780 | |
| (402) 475-1011 | |
| Not Available |
| Full Name | Bryan Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2300 S 16th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Eric N Mooss (PRESIDENT/CEO) |
| Authorized Official Contact | 4024811111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Medical Center 1600 S 48th St Lincoln NE 68506-1299 Ph: (402) 481-5792 | Bryan Medical Center 2300 S 16th St Lincoln NE 68502-3780 Ph: (402) 475-1011 |
| NPI Number | 1134216773 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 4284628652 |
|---|---|
| Medicare Enrollment ID | O20040709000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134216773 | NPI | - | NPPES |
| 611 | Other | NE | BC/BS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 500003 (Nebraska) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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