MEDICARE: APPELGATE TECHNICAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	261599	NE

General Provider Information

NPI Number	:	1841229796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPELGATE TECHNICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	3604 N 72ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-5104
Country	:	US
Telephone Number	:	402-502-3665
Fax Number	:	402-502-3666

Provider Business Practice Location Address
First Line	:	3604 N 72ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-5104
Country	:	US
Telephone Number	:	402-502-3665
Fax Number	:	402-502-3666

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CRAIG APPELGATE
Credential	:
Telephone Number	:	402-502-3665

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	07/16/2009

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