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NPI Code Detail

MEDICARE: JOSHUA MEDICAL CENTERS LLC

MEDICARE: JOSHUA MEDICAL CENTERS 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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063720084
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSHUA MEDICAL CENTERS LLC
Provider Business Mailing Address
First Line : PO BOX 7365
Second Line :
City : OMAHA
State : NE
Zip : 68107-2715
Country : US
Telephone Number : 302-715-1827
Fax Number :
Provider Business Practice Location Address
First Line : 2429 M ST
Second Line :
City : OMAHA
State : NE
Zip : 68107-2715
Country : US
Telephone Number : 402-731-7333
Fax Number : 402-614-5405
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID KERSHNER
Credential : P.A.
Telephone Number : 302-715-1827
Provider Enumeration Date : 09/24/2010
Last Update Date : 06/21/2022

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Directions to “JOSHUA MEDICAL CENTERS LLC ” Practice Location

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