1811931637 NPI number — NEBRASKA HOUSE CALL PHYSICIANS, P.C.

Table of content: (NPI 1811931637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811931637 NPI number — NEBRASKA HOUSE CALL PHYSICIANS, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEBRASKA HOUSE CALL PHYSICIANS, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811931637
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2009
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHELTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06484-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-904-2327
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 PINE LAKE RD
Provider Second Line Business Practice Location Address:
STE 5
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-904-2327
Provider Business Practice Location Address Fax Number:
888-658-4005
Provider Enumeration Date:
06/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SATTAR
Authorized Official First Name:
ARIF
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
402-904-2327

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10025220500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01970 . This is a "BCBS GROUP" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: DD0249 . This is a "RRM" identifier . This identifiers is of the category "OTHER".




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