KEARNEY EYE SURGICAL CENTER, INC. , NPI 1740492529 — KEARNEY (NE)

NPI 1740492529

12+ Years Experience Organization

KEARNEY EYE SURGICAL CENTER, INC.

05.04.2007
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1740492529
NPI NUMBER

About KEARNEY EYE SURGICAL CENTER, INC.

KEARNEY EYE SURGICAL CENTER, INC. is a provider established in KEARNEY, NE. The NPI number of KEARNEY EYE SURGICAL CENTER, INC. is 1740492529 and was assigned on 05.04.2007. The practitioners primary taxonomy code is: 261QA1903X .

Mailing address

  • City: KEARNEY
  • State: NE
  • Postal code: 688452805
  • Phone: 3088652760
  • Fax: 3088652769
  • Address: 411 W 39TH ST
  • Address 2: PO BOX 1896

Primary Practice Address

  • Region : KEARNEY, NE
  • NPI : 1740492529
  • Phone : 3088652760
  • Fax : 3088652769
  • Postalcode : 688452805
  • Address : 411 W 39TH ST

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QA1903X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • KEARNEY EYE SURGICAL CENTER, INC.
  • Address : 411 W 39TH ST
  • Region : KEARNEY, NE
  • NPI : 1740492529
  • Phone : 3088652760
  • Fax : 3088652769
  • Postalcode : 688452805

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 3088652760
  • Title or position : ADMINISTRATOR

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address411 W 39TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameKEARNEY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNE
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code688452805
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3088652760
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3088652769
The fax number associated with the location address of the provider being identified.
NPI1740492529
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QA1903X
Provider Enumeration Date05.04.2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)KEARNEY EYE SURGICAL CENTER, INC.
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address411 W 39TH ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressPO BOX 1896
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameKEARNEY
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNE
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code688452805
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3088652760
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3088652769
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameDAUP
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameALAN
The first name of the authorized official
Authorized Official Title or PositionADMINISTRATOR
The title or position of the authorized official
Authorized Official Name Prefix TextMR.
Authorized Official Name Prefix Text
Authorized Official Telephone Number3088652760
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1261QA1903X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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