| Sanchez Family Medical Llc | |
|
3440 S 50th St Omaha NE 68106-3829 | |
| (402) 214-9040 | |
| (402) 884-0088 |
| Full Name | Sanchez Family Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3440 S 50th St, Omaha, Nebraska |
| Authorized Official Name and Position | Rodolfo M. Sanchez (MD AND OWNER) |
| Authorized Official Contact | 4022166020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanchez Family Medical Llc 3440 S 50th St Omaha NE 68106-3829 Ph: (402) 216-6020 | Sanchez Family Medical Llc 3440 S 50th St Omaha NE 68106-3829 Ph: (402) 214-9040 |
| NPI Number | 1003409871 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 05/10/2021 |
| Medicare PECOS PAC ID | 6608276670 |
|---|---|
| Medicare Enrollment ID | O20210611002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003409871 | NPI | - | NPPES |
| 21472 | Other | NE | NE LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Rodolfo Mario Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164536819 PECOS PAC ID: 3678509494 Enrollment ID: I20050713000547 |
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