MEDICARE: OMAHA TRIBE OF NEBRASKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	261Q00000X	Clinic/Center		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114922143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMAHA TRIBE OF NEBRASKA

Provider Business Mailing Address
First Line	:	PO BOX 250
Second Line	:
City	:	MACY
State	:	NE
Zip	:	68039-0250
Country	:	US
Telephone Number	:	402-837-5381
Fax Number	:	402-837-5303

Provider Business Practice Location Address
First Line	:	923 SENIOR CIRCLE
Second Line	:
City	:	MACY
State	:	NE
Zip	:	68039-4018
Country	:	US
Telephone Number	:	402-837-5381
Fax Number	:	402-837-5303

Authorized Official
Title or Position	:	CEO
Name	:	MS. SARAH ROWLAND
Credential	:
Telephone Number	:	402-837-5381

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/01/2026

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Directions to “OMAHA TRIBE OF NEBRASKA ” Practice Location

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