Provider Demographics
NPI:1588220230
Name:AFFILIATED REPRODUCTIVE HEALTH CLINICS INC
Entity Type:Organization
Organization Name:AFFILIATED REPRODUCTIVE HEALTH CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CARHART
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:402-292-4164
Mailing Address - Street 1:1002 W MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3947
Mailing Address - Country:US
Mailing Address - Phone:402-292-4164
Mailing Address - Fax:402-291-4643
Practice Address - Street 1:1002 W MISSION AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3947
Practice Address - Country:US
Practice Address - Phone:402-292-4164
Practice Address - Fax:402-291-4643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty