Provider Demographics
NPI:1558105866
Name:ACCIDENT CARE & TREATMENT CENTER
Entity type:Organization
Organization Name:ACCIDENT CARE & TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BORJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-502-4311
Mailing Address - Street 1:5002 S 24TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2754
Mailing Address - Country:US
Mailing Address - Phone:402-502-4311
Mailing Address - Fax:402-502-9409
Practice Address - Street 1:5002 S 24TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2754
Practice Address - Country:US
Practice Address - Phone:402-502-4311
Practice Address - Fax:402-502-9409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center