METHODIST PHYSICIANS CLINIC – NPI #1124118385
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

METHODIST PHYSICIANS CLINIC is a DME supplier located in OMAHA, NE. NPPES has assigned the NPI number 1124118385 to METHODIST PHYSICIANS CLINIC on October 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “METHODIST PHYSICIANS CLINIC” is a dba name, the actual legal business name for this organization is PHYSICIANS CLINIC, INC.. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 19 years ago on Jul 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for METHODIST PHYSICIANS CLINIC below.

NPI Profile for
PHYSICIANS CLINIC, INC.

NPI Number
1124118385
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIANS CLINIC, INC.
Doing Business As (dba): METHODIST PHYSICIANS CLINIC
Primary location
10060 REGENCY CIRCLE
OMAHA, NE 68114
Phone: (402) 354-1500 Fax: (402) 354-5621
Mailing address
8601 WEST DODGE ROAD
SUITE # 216
OMAHA, NE 68114
Phone: (402) 354-4822 Fax: (402) 354-5454
Organization Subpart
Yes - METHODIST PHYSICIANS CLINIC is subpart of another organization.
Authorized Official
TODD GRAGES
PRESIDENT
Phone: (402) 354-5601
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.