| Joshua Medical Centers Llc | |
|
2429 M St Omaha NE 68107-2715 | |
| (402) 731-7333 | |
| (402) 614-5405 |
| Full Name | Joshua Medical Centers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2429 M St, Omaha, Nebraska |
| Authorized Official Name and Position | David Kershner (PRESIDENT) |
| Authorized Official Contact | 3027151827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Medical Centers Llc Po Box 7365 Omaha NE 68107-2715 Ph: (302) 715-1827 | Joshua Medical Centers Llc 2429 M St Omaha NE 68107-2715 Ph: (402) 731-7333 |
| NPI Number | 1063720084 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 9234301227 |
|---|---|
| Medicare Enrollment ID | O20111018000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063720084 | NPI | - | NPPES |
| 10026076500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lynnette Ann Moseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662278 PECOS PAC ID: 5395826960 Enrollment ID: I20090407000224 |
| Provider Name | Mark D Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750490637 PECOS PAC ID: 4880735117 Enrollment ID: I20100108000793 |
| Provider Name | Rodney R Czaplewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114092996 PECOS PAC ID: 3971775321 Enrollment ID: I20111007000495 |
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