Provider Demographics
NPI:1548710775
Name:LINCOLN DIGESTIVE HEALTH CENTER LLC
Entity type:Organization
Organization Name:LINCOLN DIGESTIVE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREIFELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-465-4545
Mailing Address - Street 1:4545 R ST
Mailing Address - Street 2:100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3799
Mailing Address - Country:US
Mailing Address - Phone:402-465-3633
Mailing Address - Fax:402-465-3621
Practice Address - Street 1:2300 S 16TH ST
Practice Address - Street 2:SUITE 512
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3704
Practice Address - Country:US
Practice Address - Phone:402-465-4545
Practice Address - Fax:402-465-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical