MIDWEST INTEGRATIVE HEALTH (NPI# 1760921472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760921472 |
| Entity Type | Organization |
| Organization Name | MIDWEST INTEGRATIVE HEALTH |
| Other Organization Name | ENVISION WELLNESS CENTER |
| Practice Address |
4611 S 96th St Suite 139 Omaha NE 68127-1202 |
| Practice Telephone | 4022810825 |
| Practice Fax Number | 4022810852 |
| Mailing Telephone | 4022810825 |
| Mailing Fax Number | 4022810852 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. JACEY THOMAS FOLKERS (DIRECTOR) |
| Authorized Official Telephone | 4022810825 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Envision Wellness Center | Doing Business As Name - Organization |
| Street Address |
4611 S 96TH ST SUITE 139 |
| City | OMAHA |
| State | NE |
| Zip Code | 68127-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891107355 | Ryan Moseley | Counselor | 4611 S 96th St, Suite 111, Omaha, NE 68127-1202 | 2014-06-02 |
| 1386106474 | Sne Care of Ne, LLC | Orthopaedic Surgery | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
| 1942762034 | Cne Care of Ne, LLC | Internal Medicine | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
| 1750843843 | One Care of Ne, LLC | Orthopaedic Surgery | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
| 1689173924 | Omaha Fertility & Gynecology Clinic, LLC | Obstetrics & Gynecology | 4611 S 96th St, Omaha, NE 68127-1202 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
| 1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
| 1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
| 1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
| 1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
| 1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
| 1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
| Find all providers in zip 68127 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321790 | Cawab Medical LLC | Clinic/Center | 18021 Oak St Ste B, Omaha, NE 68130-6035 | 2020-03-23 |
| 1184099004 | Family First Health Care, LLC | Clinic/Center | 5420 Nw Radial Hwy Ste A, Omaha, NE 68104-3592 | 2015-12-03 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1407012123 | Concentra Health Services, Inc. | Clinic/Center | 9602 M Street, Omaha, NE 68127 | 2008-08-01 |
| 1649455643 | Joshua Philip Havens | Clinic/Center | 804 S. 52nd, Omaha, NE 68106 | 2008-01-08 |
| 1609868967 | Kohlls Pharmacy & Homecare Inc | Clinic/Center | 12739 Q St, Omaha, NE 68137-3211 | 2005-08-22 |
| 1881048841 | North Omaha Area Health, Inc. | Clinic/Center | 5620 Ames Ave, Omaha, NE 68104-2702 | 2016-04-15 |
| 1538547815 | Chi Health Immanuel Rehabilitation Institute | Clinic/Center | 7101 Newport Ave, Omaha, NE 68152-2164 | 2015-05-07 |
| 1740681832 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2014-09-09 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.