Healthcare Provider Details

I. General information

NPI: 1861632127
Provider Name (Legal Business Name): BELLEVUE URGENT CARE LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 02/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 HARLAN DR
BELLEVUE NE
68005-3699
US

IV. Provider business mailing address

1307 HARLAN DR
BELLEVUE NE
68005-3699
US

V. Phone/Fax

Practice location:
  • Phone: 402-291-8701
  • Fax: 402-291-8702
Mailing address:
  • Phone: 402-291-8701
  • Fax: 402-291-8702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DARIN M GREGORY
Title or Position: MD/OWNER
Credential: MD
Phone: 402-291-8701