Healthcare Provider Details

I. General information

NPI: 1891620480
Provider Name (Legal Business Name): MINTCARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 N ADAMS ST STE 8
PAPILLION NE
68046-3080
US

IV. Provider business mailing address

6409 CLEAR CREEK ST
PAPILLION NE
68157-2351
US

V. Phone/Fax

Practice location:
  • Phone: 661-479-2902
  • Fax:
Mailing address:
  • Phone: 661-479-2902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO L HERNANDEZ
Title or Position: MANAGING MEMBER
Credential: APNP-NP
Phone: 661-479-2902