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South Side Convenient Care Inc

Physician Assistant in Bellevue, NE · enumerated 2017 · authorized official Samantha Senanayaka, Clinic Credentialing Contact.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679007249

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Registry record

Entity type Organization (Type 2)
Legal business name South Side Convenient Care Inc
Practice address 4115 Harrison St, Bellevue, NE, 68147
Phone (402) 932-0692
Fax (402) 614-6731
Enumeration date Apr 20, 2017
Last updated in NPPES Jul 17, 2023

Taxonomy & classification

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Samantha Senanayaka
Title Clinic Credentialing Contact
Phone (402) 350-7616

Other identifiers

Identifier Type State Issuer
10026666300 Medicaid NE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for South Side Convenient Care Inc?
NPPES lists Samantha Senanayaka (Clinic Credentialing Contact) as the authorized official for this organization.
What is the NPI number for South Side Convenient Care Inc?
The NPI for South Side Convenient Care Inc is 1679007249, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-17.