| Nova Health Llc | |
|
1600 S 70th St Ste 200 Lincoln NE 68506-1568 | |
| (531) 233-5550 | |
| (531) 233-5550 |
| Full Name | Nova Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 S 70th St Ste 200, Lincoln, Nebraska |
| Authorized Official Name and Position | Sam Hasan (CEO) |
| Authorized Official Contact | 4023093005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Health Llc 7329 Sherman St Lincoln NE 68506-4622 Ph: () - | Nova Health Llc 1600 S 70th St Ste 200 Lincoln NE 68506-1568 Ph: (531) 233-5550 |
| NPI Number | 1083433379 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 0648791327 |
|---|---|
| Medicare Enrollment ID | O20250311000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083433379 | NPI | - | NPPES |
| Provider Name | Janet M Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942379516 PECOS PAC ID: 8325109903 Enrollment ID: I20081202000451 |
| Provider Name | Nathan Grant Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659589133 PECOS PAC ID: 3476825027 Enrollment ID: I20170817000890 |
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