North Omaha Area Health | |
5620 Ames Ave Omaha NE 68104-2702 | |
(402) 933-0737 | |
(402) 932-6844 |
Full Name | North Omaha Area Health |
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Speciality | Clinic/Center |
Location | 5620 Ames Ave, Omaha, Nebraska |
Authorized Official Name and Position | Ira F Combs (CEO) |
Authorized Official Contact | 4029330737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Omaha Area Health 5620 Ames Ave Omaha NE 68104-2702 Ph: (402) 933-0737 | North Omaha Area Health 5620 Ames Ave Omaha NE 68104-2702 Ph: (402) 933-0737 |
NPI Number | 1881048841 |
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Provider Enumeration Date | 04/15/2016 |
Last Update Date | 09/28/2018 |
Medicare PECOS PAC ID | 0143565234 |
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Medicare Enrollment ID | O20210928002123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881048841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Mark Alan Darby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851812309 PECOS PAC ID: 1557633849 Enrollment ID: I20170822000778 |
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