Healthcare Provider Details

I. General information

NPI: 1689366189
Provider Name (Legal Business Name): SEWARD URGENT CARE PARTNERSHIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 BRADFORD ST STE A
SEWARD NE
68434-1709
US

IV. Provider business mailing address

2222 S 16TH ST STE 400A
LINCOLN NE
68502-3785
US

V. Phone/Fax

Practice location:
  • Phone: 531-727-2893
  • Fax:
Mailing address:
  • Phone: 402-483-8590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MANGIAMELI
Title or Position: PRESIDENT
Credential:
Phone: 402-646-4628