South Side Convenient Care INC

NPI #1679007249 in Bellevue, Nebraska

Provider Information

NPI Number
1679007249
Entity Type
Organization
Organization Name
South Side Convenient Care INC
Primary Specialty
Physician Assistant
Enumeration Date
Apr 20, 2017
Last Updated
Jul 17, 2023

Practice Location

Address
4115 HARRISON ST
ZIP Code
68147-1059
Phone
(402) 932-0692

Authorized Official

Name
MRS. SAMANTHA SENANAYAKA, PA-C
Title
CLINIC CREDENTIALING CONTACT
Phone
(402) 350-7616

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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