Provider Source, Llc

LBN: Encounter Telehealth, Inc
Provider Source, Llc is an health care organization with primary practice located at 900 S 74Th Plz Ste 300 , Omaha NE 68114-4667. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Encounter Telehealth, Inc can be contacted via phone (844) 485-3041, or through Amis, Jennifer Lynn via phone (402) 590-2548.

Contact Information

Primary practice address
900 S 74Th Plz Ste 300 Omaha NE 68114-4667
Phone: (844) 485-3041
Fax: (402) 504-9515
Website:
Map and Directions
Authorized official contact:
Name: Amis, Jennifer Lynn
Phone: (402) 590-2548

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1922342195
LBN Legal business name Encounter Telehealth, Inc
DBA Doing business as Provider Source, Llc
Authorized official Amis, Jennifer Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2012
Last updated Jan 16th, 2023 - about 2 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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