Provider Demographics
NPI:1750365078
Name:INTREPID AMERICA-NEBRASKA INC
Entity type:Organization
Organization Name:INTREPID AMERICA-NEBRASKA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:A
Authorized Official - Last Name:VON ARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-285-7300
Mailing Address - Street 1:6600 FRANCE AVE S
Mailing Address - Street 2:STE 510
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-1804
Mailing Address - Country:US
Mailing Address - Phone:952-285-7300
Mailing Address - Fax:952-285-6327
Practice Address - Street 1:7501 O ST
Practice Address - Street 2:STE 106
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-483-2032
Practice Address - Fax:402-483-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health