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MIRACLE HILLS PRIMARY CARE CENTER PC
NPI 1104292093
Family Medicine in Omaha, NE

Active since August 14, 2015
11819 MIRACLE HILLS DR STE 105, OMAHA, NE 68154(402) 905-2075(402) 905-9864 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miracle Hills Primary Care Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE HILLS PRIMARY CARE CENTER PC (NPI 1104292093) is a healthcare organization registered as a family medicine in Omaha, Nebraska and active in the NPI registry since August 2015. The organization lists Maman L Ali, President, as its authorized official.

NPPES Registry Identity

NPI1104292093
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIRACLE HILLS PRIMARY CARE CENTER PC
Location Address11819 MIRACLE HILLS DR STE 105Omaha, NE 68154-4428
Mailing Address11819 Miracle Hills Dr Ste 105Omaha, NE 68154-4428 · (402) 905-2075 · Fax (402) 905-9864
Phone(402) 905-2075
Fax(402) 905-9864
Organization SubpartNo
Authorized OfficialMaman L AliPresident · (402) 905-2075
Enumeration DateAugust 14, 2015
✔ NPI 1104292093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11819 MIRACLE HILLS DR STE 105, Omaha, NE 68154
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY BROOKE WALLEN PA-C
Physician Assistant
11819 MIRACLE HILLS DR STE 105
OMAHA, NE 68154
Douglas County (402) 905-2075
DR. MAMAN LAWAN ALI M.D.
Family Medicine
11819 MIRACLE HILLS DR STE 105
OMAHA, NE 68154
Douglas County (402) 905-2075
DR. CLAYTON BATES SCHROEDER M.D.
Internal Medicine
11819 MIRACLE HILLS DR STE 105
OMAHA, NE 68154
Douglas County (402) 356-8601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Hills Primary Care Center PC's NPI number?

The NPI number for Miracle Hills Primary Care Center PC is 1104292093. It was assigned to this organization in the NPPES registry on August 14, 2015.

Where is Miracle Hills Primary Care Center PC located?

Miracle Hills Primary Care Center PC is located at 11819 Miracle Hills Dr Ste 105, Omaha, NE 68154. The listed phone number is (402) 905-2075.

What is Miracle Hills Primary Care Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Miracle Hills Primary Care Center PC was last updated on August 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.