Healthcare Provider Details

I. General information

NPI: 1851948798
Provider Name (Legal Business Name): TWIN RIVERS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 ALLEN DR
GRAND ISLAND NE
68803-3328
US

IV. Provider business mailing address

720 N WEBB RD
GRAND ISLAND NE
68803-3310
US

V. Phone/Fax

Practice location:
  • Phone: 308-384-2500
  • Fax: 308-384-2565
Mailing address:
  • Phone: 308-384-2282
  • Fax: 308-384-2565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DREW SCHREIBER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 308-384-2500