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NPI Code Detail

MEDICARE: TWIN RIVERS URGENT CARE LLC

MEDICARE: TWIN RIVERS URGENT CARE 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 Physician20673NE

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 : 1639248560
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN RIVERS URGENT CARE LLC
Provider Business Mailing Address
First Line : 720 N WEBB RD
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-3310
Country : US
Telephone Number : 308-384-2500
Fax Number : 308-842-5653
Provider Business Practice Location Address
First Line : 720 N WEBB RD
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-3310
Country : US
Telephone Number : 308-384-2500
Fax Number : 308-384-2565
Authorized Official
Title or Position : MD CEO
Name : BRYAN DAVID NOKELBY
Credential : MD
Telephone Number : 308-384-2500
Provider Enumeration Date : 11/07/2006
Last Update Date : 01/25/2023

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Directions to “TWIN RIVERS URGENT CARE LLC ” Practice Location

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