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South Side Convenient Care Inc

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.

physician-icon Basic Information

Practice Location 4115 Harrison St, Bellevue, NE 68147-1059, US
Practice Location Phone402-932-0692
Practice Location Fax402-614-6731
Legal Business NameSOUTH SIDE CONVENIENT CARE INC
NPI ?1679007249
Entity TypeOrganization
Enumeration Date ? Apr 20, 2017
Last Update Date ? Jun 16, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of South Side Convenient Care Inc

SpecialtySpecializationLicenseLicense State
Physician Assistant

legacy-id-icon Legacy Provider IDs of South Side Convenient Care Inc

Provider IdIssuer StateIssuer TypeIssuer
10026666300NebraskaMedicaid

official-icon Authorized Official of South Side Convenient Care Inc

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/PositionCLINIC CREDENTIALING CONTACT
Authorized Official Phone Number402-350-7616