Provider Demographics
NPI:1942857883
Name:TWIN RIVERS URGENT CARE LLC
Entity Type:Organization
Organization Name:TWIN RIVERS URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF OPS
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-384-2282
Mailing Address - Street 1:720 N WEBB RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-3310
Mailing Address - Country:US
Mailing Address - Phone:308-384-2282
Mailing Address - Fax:308-384-2565
Practice Address - Street 1:3203 OSBORNE DR W STE 101
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9140
Practice Address - Country:US
Practice Address - Phone:402-834-1005
Practice Address - Fax:402-303-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty