| Renew Healthcare LLC | |
|
17021 Lakeside Hills Plz Ste 201 Omaha NE 68130-2390 | |
| (402) 506-6335 | |
| Not Available |
| Full Name | Renew Healthcare LLC |
|---|---|
| Speciality | General Practice |
| Location | 17021 Lakeside Hills Plz Ste 201, Omaha, Nebraska |
| Authorized Official Name and Position | Joseph Michael Yankey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5152254492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Healthcare LLC 5901 Westown Pkwy Ste 220 West Des Moines IA 50266-8297 Ph: (515) 225-4492 | Renew Healthcare LLC 17021 Lakeside Hills Plz Ste 201 Omaha NE 68130-2390 Ph: (402) 506-6335 |
| NPI Number | 1427642925 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427642925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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