Central Plains Ent & Audiology

LBN: Central Plains Ent, Pc
Central Plains Ent & Audiology is an health care organization with primary practice located at 8005 Farnam Dr Suite 204, Omaha NE 68114-3426. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Central Plains Ent, Pc can be contacted via phone (402) 502-6970, or through Moore, Iris J via phone (402) 502-6970.

Contact Information

Primary practice address
8005 Farnam Dr Suite 204 Omaha NE 68114-3426
Fax: (402) 502-6930
Website:
Authorized official contact:
Name: Moore, Iris J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1245391119
LBN Legal business name Central Plains Ent, Pc
DBA Doing business as Central Plains Ent & Audiology
Authorized official Moore, Iris J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245391119 NPPES
South Dakota MEDICAID 6520013
South Dakota MEDICAID 11798
South Dakota MEDICAID 0561399

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