Kubat Custom Health Care, Inc.

LBN: Kubat Custom Health Care, Llc
Kubat Custom Health Care, Inc. is an health care organization with primary practice located at 4924 Center St Ste A1 , Omaha NE 68106-3219. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kubat Custom Health Care, Llc can be contacted via phone (402) 558-2474, or through Daniel, Brian Paul via phone (402) 315-1944.

Contact Information

Primary practice address
4924 Center St Ste A1 Omaha NE 68106-3219
Phone: (402) 558-2474
Fax: (402) 561-1252
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Brian Paul
Phone: (402) 315-1944

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1407033855
LBN Legal business name Kubat Custom Health Care, Llc
DBA Doing business as Kubat Custom Health Care, Inc.
Authorized official Daniel, Brian Paul
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2008
Last updated Jun 3rd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407033855 NPPES
Nebraska MEDICAID 47048968700
Nebraska Other 2818156

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