MEDICARE: MINTCARE CLINIC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1891620480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINTCARE CLINIC

Provider Business Mailing Address
First Line	:	6409 CLEAR CREEK ST
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68157-2351
Country	:	US
Telephone Number	:	661-479-2902
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 N ADAMS ST STE 8
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-3080
Country	:	US
Telephone Number	:	661-479-2902
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. FRANCISCO L HERNANDEZ
Credential	:	APNP-NP
Telephone Number	:	661-479-2902

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “MINTCARE CLINIC ” Practice Location

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