| Nebraska Urgent Care Center, Llc | |
|
4720 W Huntington Ave Lincoln NE 68524-1528 | |
| (402) 483-8610 | |
| Not Available |
| Full Name | Nebraska Urgent Care Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4720 W Huntington Ave, Lincoln, Nebraska |
| Authorized Official Name and Position | Sarah Lusero (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4024234218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebraska Urgent Care Center, Llc 4720 W Huntington Ave Ste J Lincoln NE 68524-1528 Ph: (402) 470-6055 | Nebraska Urgent Care Center, Llc 4720 W Huntington Ave Lincoln NE 68524-1528 Ph: (402) 483-8610 |
| NPI Number | 1396037875 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 3678731650 |
|---|---|
| Medicare Enrollment ID | O20120222000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396037875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carrie C Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689613622 PECOS PAC ID: 9335152065 Enrollment ID: I20060727000187 |
| Provider Name | Athena Fertig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093028805 PECOS PAC ID: 1951425362 Enrollment ID: I20100907000757 |
| Provider Name | Lillie Lueke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831708817 PECOS PAC ID: 7719303775 Enrollment ID: I20200820002722 |
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