Look up the most recent NPI and PECOS records

Sanchez Family Medical Llc

Clinic/Center

Ambulatory Health Care Facilities

PECOS Enrollment

Based on the most recent information from CMS, provider Sanchez Family Medical Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003409871
Provider Type
Organization
Full Name
Sanchez Family Medical Llc

Subpart
No
Enumeration Date
2/12/2021
Last Updated
5/10/2021

Contact Information

Practice Location

3440 S 50th St, Omaha, NE 68106-3829

(402) 214-9040

(402) 884-0088

Mailing Location

3440 S 50th St, Omaha, NE 68106-3829

(402) 216-6020

(402) 884-0088

Authorized Official

Sanchez, Rodolfo M. (Md And Owner)

(402) 216-6020

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 21472	Description Other	Issuer NE LISCENCE Nebraska

Sanchez Family Medical Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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