| Encounter Telehealth, Inc | |
|
900 S 74th Plz Ste 300 Omaha NE 68114-4667 | |
| (844) 485-3041 | |
| (402) 504-9515 |
| Full Name | Encounter Telehealth, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 S 74th Plz Ste 300, Omaha, Nebraska |
| Authorized Official Name and Position | Jennifer Lynn Amis (PRESIDENT & CEO) |
| Authorized Official Contact | 4025902548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encounter Telehealth, Inc 900 S 74th Plz Ste 300 Omaha NE 68114-4667 Ph: (402) 718-8846 | Encounter Telehealth, Inc 900 S 74th Plz Ste 300 Omaha NE 68114-4667 Ph: (844) 485-3041 |
| NPI Number | 1922342195 |
|---|---|
| Provider Enumeration Date | 11/12/2012 |
| Last Update Date | 01/16/2023 |
| Medicare PECOS PAC ID | 9931348307 |
|---|---|
| Medicare Enrollment ID | O20130614000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922342195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Amber R Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811663651 PECOS PAC ID: 3971997586 Enrollment ID: I20230622000902 |
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