Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Side Convenient Care Inc

Organization Physician Assistant · NPI 1679007249

South Side Convenient Care Inc is a Physician Assistant in Bellevue, Nebraska. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4115 Harrison St
Bellevue, NE 68147-1059
Phone: (402) 932-0692
Fax: (402) 614-6731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679007249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Senanayaka — Clinic Credentialing Contact · (402) 350-7616
NPI enumeratedApril 20, 2017
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address4115 Harrison St, Bellevue, NE 68147-1059

Other providers in Bellevue