Healthcare Provider Details
I. General information
NPI: 1356433544
Provider Name (Legal Business Name): SAINT PAUL VI INSTITUTE PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6901 MERCY RD SUITE 130
OMAHA NE
68106-2621
US
IV. Provider business mailing address
6901 MERCY RD #130
OMAHA NE
68106-2621
US
V. Phone/Fax
- Phone: 402-397-4084
- Fax: 402-390-9851
- Phone: 402-397-4084
- Fax: 402-390-9851
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
WILLIAM
HILGERS
Title or Position: DIRECTOR
Credential: MD
Phone: 402-390-6600