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Contact Information

HASTINGS CONVENIENT CARE PC
208 S BURLINGTON AVE
STE. 108
HASTINGS, NE68901-5904
 Phone: 402-463-6300
 Fax: 402-834-0665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HASTINGS CONVENIENT CARE PC

NPI # 1710203054
LBN Legal business name HASTINGS CONVENIENT CARE PC
Authorized official ANDREA CLEMENT - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2010
Last updated 10/13/2010 - About 16 years ago
Identifiers
NE License # 110737
NE Medicaid 10025859600
NE Other 10692134 STATE TAX ID
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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