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

Miracle Hills Primary Care Center PC

Organization Family Medicine Physician · NPI 1104292093

Miracle Hills Primary Care Center PC provides Family Medicine Physician services in Omaha, Nebraska. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11819 Miracle Hills Dr Ste 105
Omaha, NE 68154-4428 Not confirmed with CMS for 11 years — call before visiting
Phone: (402) 905-2075
Fax: (402) 905-9864
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104292093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maman Ali — President · (402) 905-2075
NPI enumeratedAugust 14, 2015
Last updated in NPPESAugust 14, 2015
Mailing address11819 Miracle Hills Dr Ste 105, Omaha, NE 68154-4428

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