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NPI Code Detail

MEDICARE: BCP UNION PARK, LLC

MEDICARE: BCP UNION PARK, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1023679057
Entity Type Code : Organization
Provider Name (Legal Business Name) : BCP UNION PARK, LLC
Provider Business Mailing Address
First Line : 702 S HIGHWAY 6
Second Line :
City : GRETNA
State : NE
Zip : 68028-7970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 E 8TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50316-1717
Country : US
Telephone Number : 515-262-9303
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AARON N KAMINER
Credential :
Telephone Number : 908-399-4918
Provider Enumeration Date : 06/20/2019
Last Update Date : 12/05/2019

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Directions to “BCP UNION PARK, LLC ” Practice Location

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