MEDICARE: LINC CARE, A JOINT VENTURE

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1750315776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINC CARE, A JOINT VENTURE

Provider Business Mailing Address
First Line	:	8055 'O' ST
Second Line	:	STE 300
City	:	LINCOLN
State	:	NE
Zip	:	68510-2580
Country	:	US
Telephone Number	:	402-421-0896
Fax Number	:	402-421-0945

Provider Business Practice Location Address
First Line	:	5000 NORTH 26TH STREET
Second Line	:	SUITE 300
City	:	LINCOLN
State	:	NE
Zip	:	68521-4749
Country	:	US
Telephone Number	:	402-435-2060
Fax Number	:	402-435-2046

Authorized Official
Title or Position	:	CEO
Name	:	REX K RECKEWEY
Credential	:	MD
Telephone Number	:	402-421-0896

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/04/2008

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