Healthcare Provider Details

I. General information

NPI: 1033940879
Provider Name (Legal Business Name): URGENT CARE BENNINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 N 157TH ST STE 102
BENNINGTON NE
68007-5191
US

IV. Provider business mailing address

PO BOX 815
BOYS TOWN NE
68010-0815
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-8201
  • Fax: 402-933-8301
Mailing address:
  • Phone: 402-926-9637
  • Fax: 402-895-2036

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: MICHELLE MERTZ
Title or Position: OWNER
Credential:
Phone: 402-926-9637