PHYSICIANS CLINIC, INC. (NPI# 1093801888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093801888 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC |
| Practice Address |
203 Main Street Louisville NE 68037 |
| Mailing Address |
8601 West Dodge Road Suite # 216 Omaha NE 68114 |
| Practice Telephone | 4022342502 |
| Mailing Telephone | 4023544822 |
| Mailing Fax Number | 4023545454 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TODD D. GRAGES (PRESIDENT) |
| Authorized Official Telephone | 4023545601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Methodist Physicians Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770673923 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 8111 Dodge Street, Suite # 263, Omaha, NE 68114 | 2006-10-16 |
| 1124118385 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 10060 Regency Circle, Omaha, NE 68114 | 2006-10-16 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 2006-10-05 |
| 1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
| 1144317975 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 625 So Pine Street, Valley, NE 68064 | 2006-10-05 |
| 1386730109 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 107 East 4th Street, Malvern, IA 51551 | 2006-10-05 |
| 1013003839 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 5908 South 142nd Street, Omaha, NE 68137 | 2006-10-05 |
| 1497842223 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Risen Son Boulevard, Council Bluffs, IA 51503 | 2006-10-05 |
| 1962599712 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 101 East Centennial Road, Papillion, NE 68046 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS CLINIC, INC. | 8511 W Dodge Rd System, Omaha, NE 68114 |
| Iowa Business Entities | PHYSICIANS CLINIC, INC. | One Edmundson Pl, Ste 310, Council Bluffs, IA 51503 |
| Street Address |
203 MAIN STREET |
| City | LOUISVILLE |
| State | NE |
| Zip Code | 68037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669581708 | Gloria Milbourn | Physician Assistant | 203 Main Street, Louisville, NE 68037 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285176636 | Kayla Marie Mammen | Physical Therapist | 1276 Sand Hill Rd, #2, Louisville, NE 68037 | 2016-11-15 |
| 1366801490 | Express Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1254 Sandhill Cir. Suite 1, Louisville, NE 68037 | 2016-02-17 |
| 1447672514 | Natosha Siemek | Physical Therapist | 1268 E Henry Street. Suite 1, Louisville, NE 68037 | 2014-01-09 |
| 1497076756 | Daniel James Witte | Physical Therapist | 1268 E Henry Street, Suite 1, Louisville, NE 68037 | 2010-06-21 |
| 1689637456 | City of Louisville | Ambulance | 122 Main Street, Louisville, NE 68037 | 2006-04-11 |
| 1962580373 | Jason Lee Rohrs | Dentist | 229 Main Street, Louisville, NE 68037-0249 | 2006-11-02 |
| 1407991383 | Kitran R Geise | Pharmacist | 213 Main St, Box 339, Louisville, NE 68037-0339 | 2007-02-20 |
| 1912980921 | Louisville Care Center | Skilled Nursing Facility | 410 W 5th St, Louisville, NE 68037-6006 | 2005-11-23 |
| 1306320650 | Jenica Pauletto | Physical Therapy Assistant | 410 W 5th St, Louisville, NE 68037-6006 | 2018-09-23 |
| 1952851420 | Daniel Brockevelt | Physical Therapy Assistant | 410 W 5th St, Louisville, NE 68037-6006 | 2016-10-09 |
| Find all providers in zip 68037 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029254 | Vizions Mobility LLC | Durable Medical Equipment & Medical Supplies | 14111 Spring Mill Rd, Louisville, KY 40245-7490 | 2020-09-30 |
| 1538797097 | Amc Health Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8053 Warwick Ave, Louisville, KY 40222-4419 | 2020-03-31 |
| 1477187920 | Ellis & Badenhausen Orthopaedics, Psc | Durable Medical Equipment & Medical Supplies | 6768 Bardstown Rd, Louisville, KY 40291-3048 | 2020-02-24 |
| 1083245542 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 4644 Chamberlain Ln, Louisville, KY 40241-1160 | 2020-02-03 |
| 1548891765 | Val Luckyan | Durable Medical Equipment & Medical Supplies | 310 E Broadway Ste 120, Louisville, KY 40202-1745 | 2020-01-27 |
| 1700425816 | New Source Medical, LLC | Durable Medical Equipment & Medical Supplies | 9913 Shelbyville Rd Ste 203, Louisville, KY 40223-2907 | 2020-01-06 |
| 1184275323 | Curetech Usa, Inc | Durable Medical Equipment & Medical Supplies | 125 S Bayly Ave, Louisville, KY 40206-2502 | 2019-09-27 |
| 1639726664 | Dasco Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 12406 La Grange Rd, Louisville, KY 40245-1901 | 2019-08-23 |
| 1518529460 | Strive Medical, LLC | Durable Medical Equipment & Medical Supplies | 700 Executive Park Ste 723, Louisville, KY 40207-4207 | 2019-07-01 |
| 1790247823 | Sarah Chinelle Garmany | Durable Medical Equipment & Medical Supplies | 1901 Hazelwood Ct, Louisville, KY 40214-1255 | 2019-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 68037 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.