| Williams Family Medicine Pc | |
|
9015 Arbor St Suite 106 Omaha NE 68124-2056 | |
| (402) 391-6623 | |
| (402) 391-6983 |
| Full Name | Williams Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9015 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Stephen H Williams (PRESIDENT) |
| Authorized Official Contact | 4023916623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Medicine Pc 9015 Arbor St Suite 106 Omaha NE 68124-2056 Ph: (402) 391-6623 | Williams Family Medicine Pc 9015 Arbor St Suite 106 Omaha NE 68124-2056 Ph: (402) 391-6623 |
| NPI Number | 1194943290 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 1254469091 |
|---|---|
| Medicare Enrollment ID | O20100514000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194943290 | NPI | - | NPPES |
| 40761601700 | Medicaid | NE | |
| 88009 | Other | NE | COVENTRY |
| 092156 | Other | NE | MEDICARE ID TYPE UNSPECIFIED |
| 01-00109 | Other | NE | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16482 (Nebraska) | Primary |
| Provider Name | Stephen H Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679530505 PECOS PAC ID: 3678602216 Enrollment ID: I20100520000282 |
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