| Csj Physician Services Llc | |
|
3213 S 24th St Omaha NE 68108-1832 | |
| (402) 509-8410 | |
| (402) 346-9448 |
| Full Name | Csj Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3213 S 24th St, Omaha, Nebraska |
| Authorized Official Name and Position | J. Scott Richardson (SVP, OPS FINANCE & PMO, TENET) |
| Authorized Official Contact | 4698936960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csj Physician Services Llc 3213 S 24th St Omaha NE 68108-1832 Ph: (402) 509-8410 | Csj Physician Services Llc 3213 S 24th St Omaha NE 68108-1832 Ph: (402) 509-8410 |
| NPI Number | 1396050100 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396050100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nebraska) | Secondary |
| 207R00000X | Internal Medicine | (Nebraska) | Primary |
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