Provider Demographics
NPI:1669563375
Name:MCHUGH SERVICES LLC
Entity type:Organization
Organization Name:MCHUGH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:ATC
Authorized Official - Phone:402-379-3777
Mailing Address - Street 1:1909 VICKI LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4542
Mailing Address - Country:US
Mailing Address - Phone:402-379-3777
Mailing Address - Fax:402-379-3793
Practice Address - Street 1:1909 VICKI LN
Practice Address - Street 2:SUITE 105
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4542
Practice Address - Country:US
Practice Address - Phone:402-379-3777
Practice Address - Fax:402-379-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE001-009851178332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025466000Medicaid
NE5798040001Medicare NSC