Provider Source, Llc
LBN: Encounter Telehealth, Inc
Provider Source, Llc is an health care organization with primary practice located at 900 S 74Th Plz Ste 300 , Omaha NE 68114-4667. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Encounter Telehealth, Inc can be contacted via phone (844) 485-3041, or through Amis, Jennifer Lynn via phone (402) 590-2548.
Contact Information
Primary practice address
900 S 74Th Plz Ste 300
Omaha NE 68114-4667
Phone: (844) 485-3041
Fax: (402) 504-9515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1922342195 |
|---|---|
| LBN Legal business name | Encounter Telehealth, Inc |
| DBA Doing business as | Provider Source, Llc |
| Authorized official | Amis, Jennifer Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2012 |
| Last updated | Jan 16th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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