Coddington Medical Family Practice Llc | |
1336 West A Street, Suite A Lincoln NE 68522 | |
(402) 742-2502 | |
Not Available |
Full Name | Coddington Medical Family Practice Llc |
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Speciality | Clinic/Center |
Location | 1336 West A Street, Suite A, Lincoln, Nebraska |
Authorized Official Name and Position | Timothy J Sullivan (PRESIDENT) |
Authorized Official Contact | 4027422502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coddington Medical Family Practice Llc 7711 W Walin Ln Lincoln NE 68532-9200 Ph: (402) 742-2502 | Coddington Medical Family Practice Llc 1336 West A Street, Suite A Lincoln NE 68522 Ph: (402) 742-2502 |
NPI Number | 1205264231 |
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Provider Enumeration Date | 10/30/2013 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 5991936841 |
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Medicare Enrollment ID | O20140319000099 |
Identifier | Type | State | Issuer |
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1205264231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 17443 (Nebraska) | Primary |
Provider Name | Timothy J Sullivan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376524611 PECOS PAC ID: 8527098870 Enrollment ID: I20100511000916 |
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