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NPI Code Detail

MEDICARE: ST. MONICA'S

MEDICARE: ST. MONICA'S
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
1324500000XSubstance Abuse Rehabilitation FacilitySATC024NE
2324500000XSubstance Abuse Rehabilitation FacilitySATC077NE
3324500000XSubstance Abuse Rehabilitation FacilitySATC063NE
4324500000XSubstance Abuse Rehabilitation FacilitySATC102NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629120191
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. MONICA'S
Provider Business Mailing Address
First Line : 120 WEDGEWOOD DR
Second Line :
City : LINCOLN
State : NE
Zip : 68510-2431
Country : US
Telephone Number : 402-441-3768
Fax Number : 402-441-3770
Provider Business Practice Location Address
First Line : 120 WEDGEWOOD DR
Second Line :
City : LINCOLN
State : NE
Zip : 68510-2431
Country : US
Telephone Number : 402-441-3768
Fax Number : 402-441-3770
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MARY BARRY-MAGSAMEN
Credential :
Telephone Number : 402-441-3767
Provider Enumeration Date : 01/17/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1457209090 — ANGELA K FINKE
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-441-3768
Practice Fax:
1922153402 — DR. ROSEMARY JANICE ESSEKS PH.D.
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-310-0819
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1316122393 — ST. MONICA'S
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-441-3768
Practice Fax: 402-441-3770
1073818811 — MS. ELIZABETH COADY LEEPER PLMHP
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-441-3764
Practice Fax: 402-441-3770
1972800506 — CYNTHIA JANE CORDOVA LADC
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-441-3756
Practice Fax: 402-441-3770
1346547700 — MS. GAIL A MCCOY LADC
Practice Location Address:
120 WEDGEWOOD DR
LINCOLN, NE
68510-2431
Practice Phone: 402-434-0985
Practice Fax: 402-441-3770

Directions to “ST. MONICA'S ” Practice Location

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