Pine Lake Health Llc

  • 1780814475 NPI Number
  • |
  • Actived: 14 years ago
  • |
Pine Lake Health Llc is a health care provider based in Waverly, NE. The NPI Number is 1780814475 and it has been active since 14 years ago. The specialty is Physician Assistant, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Physician Assistant services, Pine Lake Health Llc is an excellent option. We are here to help you get the care you need.

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Overview of Pine Lake Health Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/16/2009
  • Last updated: 09/12/2019

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 9100 Andermatt Dr Ste 2
    Lincoln, NE 68526
  • Phone: 402-423-4218
  • Fax: 402-423-4201

Provider Practice Location

  • Address: 13220 Callum Dr
    Ste 4
    Waverly, NE 68462
  • Phone: 402-786-5563
  • Fax: 402-423-4201

Authorized Official

  • Name: DR. Matthew M Glenn MD
  • Position/Title: Physician
  • Telephone Number: 402-423-4200

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 10025748100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NE
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Pine Lake Health Llc?
  • A: The npi number for Pine Lake Health Llc is 1780814475.
  • Q: What are Pine Lake Health Llc's specialties?
  • A: Pine Lake Health Llc's specialties are Physician Assistant and different specialities.
  • Q: Where is Pine Lake Health Llc business practice location?
  • A: Pine Lake Health Llc business practice location is 13220 Callum Dr, Waverly, NE 68462.
  • Q: How to contact Pine Lake Health Llc?
  • A: You can contact Pine Lake Health Llc via 402-786-5563.
  • Q: What is the authorized official for Pine Lake Health Llc?
  • A: The authorized office name is DR. Matthew M Glenn MD with position/title is Physician and you can reach the authorized official via phone number 4024234200.
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