Healthcare Provider Details
I. General information
NPI: 1962408732
Provider Name (Legal Business Name): URGENT CARE CLINIC OF LINCOLN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2005
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4210 PIONEER WOODS DR STE A
LINCOLN NE
68506-7557
US
IV. Provider business mailing address
4210 PIONEER WOODS DR STE A
LINCOLN NE
68506-7557
US
V. Phone/Fax
- Phone: 402-488-4321
- Fax: 402-488-4355
- Phone: 402-488-4321
- Fax: 402-488-4355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONALD
TROY
RICE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-488-4321