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General NPI Number Information
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NPI Number | 1528006103
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Entity Type | Organization
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Legal Business Name | BRYAN MEDICAL CENTER
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1600 S 48TH ST
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City | LINCOLN
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State | NE
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Zip | 68506-1299
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Country | US
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Telephone | 402-489-0200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860877
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0877
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Country | US
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Telephone | 402-481-3548
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Fax | 402-481-8306
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Authorized Official
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Title or Position | INTERIM PRESIDENT/CEO
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Name | JOHN T WOODRICH
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Credential |
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Telephone | 402-481-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 500003
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 500001
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License Number State | NE
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