Organization · Type 2 NPI
Back To the Basics
Primary Care Clinic/Center · Omaha, NE
NPI number
1679802532
Active
Practice location
9761 Q St
Omaha, NE 68127-3272
Fax (402) 331-4142
Mailing address
PO Box 101
Meadow Grove, NE 68752-0101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 1560 (NE) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1679802532
Back To the Basics's National Provider Identifier is 1679802532, issued on Dec 23, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Omaha, NE. The record was last updated on Dec 23, 2009.