Bryan Health Connect
Preferred Provider Organization in Lincoln, NE. Organization (NPI-2).
NPI number1467976308
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1467976308
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryan Health Connect
- Organization subpart
- No
- Enumeration date
- Aug 2, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
2300 S 16th StreetLincoln, NE 68502
Phone 402-483-8891 · Fax 402-483-8896
Mailing address
2300 S 16th StLincoln, NE 68502-3704
Phone 402-483-8891 · Fax 402-483-8896
Authorized official
Patrick Dwaine Ganyo
President & Executive Director
4024838893
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All 7 Preferred Provider Organization providers in Lincoln · All 17,648 providers in Lincoln
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