Healthcare Provider Details

I. General information

NPI: 1265368138
Provider Name (Legal Business Name): MOHR ADVENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 PARK DR
SPRINGFIELD NE
68059-6845
US

IV. Provider business mailing address

850 PARK DR
SPRINGFIELD NE
68059-6845
US

V. Phone/Fax

Practice location:
  • Phone: 402-253-3083
  • Fax:
Mailing address:
  • Phone: 402-253-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: WENDI MUNHALL
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 402-515-0693