Healthcare Provider Details
I. General information
NPI: 1992982185
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF NEBRASKA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2008
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 F ST
OMAHA NE
68107-1533
US
IV. Provider business mailing address
5080 SPECTRUM DR SUITE 1200 WEST
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 402-731-7990
- Fax: 402-731-8138
- Phone: 972-720-7772
- Fax: 214-775-4502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
ANDERSON
Title or Position: SENIOR VP/ CHIEF MEDICAL OFFICER
Credential: DO
Phone: 972-364-8000