Basic Information
| Provider Information | |||||||||
| NPI: | 1891018008 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INPATIENT PHYSICIAN ASSOCIATES COLUMBUS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6971 | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685060971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024867115 | ||||||||
| FaxNumber: | 4024346037 | ||||||||
| Practice Location | |||||||||
| Address1: | 4600 38TH ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 686011664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024867115 | ||||||||
| FaxNumber: | 4024346037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2010 | ||||||||
| LastUpdateDate: | 03/03/2010 | ||||||||
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| AuthorizedOfficialLastName: | BOSSARD | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4024814780 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | NE | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.