Provider Demographics
NPI:1871651406
Name:HEART & HEALTH SOLUTIONS PC
Entity Type:Organization
Organization Name:HEART & HEALTH SOLUTIONS PC
Other - Org Name:KEVIN J COUGHLIN MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-488-6100
Mailing Address - Street 1:2120 SOUTH 56TH ST
Mailing Address - Street 2:#102
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-488-6100
Mailing Address - Fax:402-488-6210
Practice Address - Street 1:2120 SOUTH 56TH ST
Practice Address - Street 2:#102
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-488-6100
Practice Address - Fax:402-488-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16127171100000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024996800Medicaid
NE2863OtherMIDLANDS
NE07460OtherBCBS
NE2863OtherMIDLANDS
NE10024996800Medicaid