Provider Demographics
NPI:1356896070
Name:MIDLANDS FAMILY URGENT CARE LP
Entity type:Organization
Organization Name:MIDLANDS FAMILY URGENT CARE LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-681-4030
Mailing Address - Street 1:PO BOX 30200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-1300
Mailing Address - Country:US
Mailing Address - Phone:402-933-6300
Mailing Address - Fax:402-916-5078
Practice Address - Street 1:312 OLSON DR STE 101
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2981
Practice Address - Country:US
Practice Address - Phone:402-933-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care