Provider Demographics
NPI:1861632127
Name:BELLEVUE URGENT CARE LP
Entity Type:Organization
Organization Name:BELLEVUE URGENT CARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-291-8701
Mailing Address - Street 1:1307 HARLAN DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3699
Mailing Address - Country:US
Mailing Address - Phone:402-291-8701
Mailing Address - Fax:402-291-8702
Practice Address - Street 1:1307 HARLAN DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3699
Practice Address - Country:US
Practice Address - Phone:402-291-8701
Practice Address - Fax:402-291-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care