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Contact Information

NEW CENTURY PHYSICIANS OF NEBRASKA LLC
16901 LAKESIDE HILLS CT
OMAHA, NE68130-2318
 Phone: 402-717-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NEW CENTURY PHYSICIANS OF NEBRASKA LLC

NPI # 1013916600
LBN Legal business name NEW CENTURY PHYSICIANS OF NEBRASKA LLC
Authorized official STEPHEN HOLTZCLAW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2005
Last updated 12/30/2014 - About 11 years ago
Identifiers
NE License # 10041654
IA Medicaid 0717264
NE Medicaid 100251217-00
NE Other 203413200 DEPT OF LABOR GRP NUMBER
NE Other 203413200 EEOICP
NE Other 020455400 FEDERAL BLACK LUNG
NE Other CK8681 RRMEDICARE GRP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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