| Bryan High School Based Clinic | |
|
4700 Giles Rd Omaha NE 68157-2641 | |
| (402) 991-3904 | |
| (402) 991-3916 |
| Full Name | Bryan High School Based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4700 Giles Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Andrea M Skolkin (CEO) |
| Authorized Official Contact | 4025028842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan High School Based Clinic 4920 S 30th St Suite 103 Omaha NE 68107-1590 Ph: (402) 734-4110 | Bryan High School Based Clinic 4700 Giles Rd Omaha NE 68157-2641 Ph: (402) 991-3904 |
| NPI Number | 1285977660 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 3173435153 |
|---|---|
| Medicare Enrollment ID | O20131104001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285977660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | HC018 (Nebraska) | Primary |
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