Provider Demographics
NPI:1356433544
Name:SAINT PAUL VI INSTITUTE PHYSICIANS PC
Entity type:Organization
Organization Name:SAINT PAUL VI INSTITUTE PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HILGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-390-6600
Mailing Address - Street 1:6901 MERCY RD
Mailing Address - Street 2:#130
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2621
Mailing Address - Country:US
Mailing Address - Phone:402-397-4084
Mailing Address - Fax:402-390-9851
Practice Address - Street 1:6901 MERCY RD
Practice Address - Street 2:SUITE 130
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2621
Practice Address - Country:US
Practice Address - Phone:402-397-4084
Practice Address - Fax:402-390-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-13Medicaid
B90859Medicare UPIN