PHYSICIANS CLINIC, INC. (NPI# 1407179781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407179781 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC, INC. |
| Practice Address |
717 N 190th Plz Elkhorn NE 68022-3974 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4028151700 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |
| Authorized Official Name | TODD D. GRAGES (PRESIDENT) |
| Authorized Official Telephone | 4023545609 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEBRASKA METHODIST HEALTH SYSTEMS |
| 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, Inc. | 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 |
717 N 190TH PLZ |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731523 | Kelly Gadwood Behney | Physical Therapist | 717 N 190th Plz, Ste. 2000, Elkhorn, NE 68022-3913 | 2006-02-28 |
| 1275990905 | Joli Hallowell | Physician Assistant | 717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 | 2016-01-26 |
| 1851789390 | Jennifer Lynn Auxier | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2015-01-07 |
| 1316379340 | Susan M Meier | Nurse Practitioner | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-08-01 |
| 1306282215 | Amela Hodzic | Registered Nurse | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-05-17 |
| 1659629756 | Melanie Bussey | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-08-21 |
| 1750643193 | Darrick Peters | Obstetrics & Gynecology | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2012-06-12 |
| 1033481312 | Bonnie Wilkerson | Physician Assistant | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-02-02 |
| 1164708392 | Kathleen Ann Morris | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2011-11-02 |
| 1073891628 | Alicia L. Wachal | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2011-08-01 |
| Find all providers in the same location | ||||
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| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| 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 |
|---|---|---|---|---|
| 1366060105 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 20021 Manderson St, Elkhorn, NE 68022-3233 | 2020-07-08 |
| 1811461536 | Snp Consulting Services LLC | Durable Medical Equipment & Medical Supplies | 523 S 188th Cir, Elkhorn, NE 68022-5662 | 2019-01-15 |
| 1437453222 | Aj's Complete Bathroom Remodeling | Durable Medical Equipment & Medical Supplies | 20512 Antler Cir, Elkhorn, NE 68022-2084 | 2011-01-07 |
| 1487849477 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 939 N Wisconsin St, Elkhorn, WI 53121-4541 | 2007-09-12 |
| 1568654135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 20201 Manderson St, Elkhorn, NE 68022-3234 | 2007-08-16 |
| 1992154272 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | W3985 County Road Nn, #f107, Elkhorn, WI 53121-4337 | 2016-06-08 |
| 1457710212 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | W3985 County Road Nn, 1st Floor, Elkhorn, WI 53121-4337 | 2016-02-22 |
| 1891037024 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 839 N Wisconsin St, Elkhorn, WI 53121-4541 | 2013-03-26 |
| 1962710178 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 20 N Church St, Elkhorn, WI 53121-1770 | 2010-09-22 |
| 1104988013 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2006-12-15 |
| Find all providers in ELKHORN | ||||
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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.