Start Fresh Alcohol Recovery Center

LBN: Fresh Start Private Midwest Llc
Start Fresh Alcohol Recovery Center is an health care organization with primary practice located at 2827 S 88Th St , Omaha NE 68124-3056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Fresh Start Private Midwest Llc can be contacted via phone (402) 884-1221, or through Evans, Griffith F via phone (402) 884-1221.

Contact Information

Primary practice address
2827 S 88Th St Omaha NE 68124-3056
Phone: (402) 884-1221
Fax: (402) 884-1335
Website:
Map and Directions
Authorized official contact:
Name: Evans, Griffith F Doctor of Medicine (MD)
Phone: (402) 884-1221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 207LPZ900X Nebraska

Profile Details

NPI number 1598147266
LBN Legal business name Fresh Start Private Midwest Llc
DBA Doing business as Start Fresh Alcohol Recovery Center
Authorized official Evans, Griffith F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2015
Last updated Jun 18th, 2015 - about 9 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 1598147266 NPPES
Nebraska MEDICAID 508729194

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