South Side Convenient Care Inc is a health care provider in Bellevue, NE. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||4115 Harrison St, Bellevue, NE 68147-1059, US|
|Practice Location Phone||402-932-0692|
|Practice Location Fax||402-614-6731|
|Legal Business Name||SOUTH SIDE CONVENIENT CARE INC|
|Enumeration Date ?||Apr 20, 2017|
|Last Update Date ?||Jun 16, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Physician Assistant||Physician Assistants & Advanced Practice Nursing Providers|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the South Side Convenient Care Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mrs. Samantha Senanayaka (PA-C)|
|Authorized Official Title/Position||CLINIC CREDENTIALING CONTACT|
|Authorized Official Phone Number||402-350-7616|