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Contact Information

OMAHA INTEGRATIVE CARE, LLC
2126 N 117TH AVE
OMAHA, NE68164-3670
 Phone: 402-934-1617
 Fax: 402-934-5228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OMAHA INTEGRATIVE CARE, LLC

NPI # 1023302247
LBN Legal business name OMAHA INTEGRATIVE CARE, LLC
Authorized official JULIE LUZARRAGA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2011
Last updated 12/06/2023 - About 2 years ago
Identifiers
NE License # 273
NE Medicaid 100262127-00
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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