| G G Enterprises Inc. | |
|
10040 Regency Cir Ste 250 Omaha NE 68114-3738 | |
| (402) 393-5432 | |
| (402) 393-0220 |
| Full Name | G G Enterprises Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10040 Regency Cir Ste 250, Omaha, Nebraska |
| Authorized Official Name and Position | Gary C Gard (OWNER) |
| Authorized Official Contact | 4023935432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G G Enterprises Inc. 10040 Regency Cir Ste 250 Omaha NE 68114-3738 Ph: (402) 393-5432 | G G Enterprises Inc. 10040 Regency Cir Ste 250 Omaha NE 68114-3738 Ph: (402) 393-5432 |
| NPI Number | 1285901439 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 7214104983 |
|---|---|
| Medicare Enrollment ID | O20120120000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285901439 | NPI | - | NPPES |
| 08430 | Other | NE | BC/BS |
| 273852 | Other | NE | MEDICARE PART B CARRIER |
| 103230 | Other | NE | MHN |
| 4786 | Other | MIDLANDS CHOICE | |
| 048369 | Other | NE | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 181 (Nebraska) | Primary |
| Provider Name | Gary C Gard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588673701 PECOS PAC ID: 0840467528 Enrollment ID: I20120120000297 |
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