MEDICARE: NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1760883367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 127
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-0127
Country	:	US
Telephone Number	:	402-375-2200
Fax Number	:	402-375-2201

Provider Business Practice Location Address
First Line	:	801 MILO DR
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787
Country	:	US
Telephone Number	:	402-375-2200
Fax Number	:	402-375-2201

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	COLLEEN HUPKE
Credential	:
Telephone Number	:	402-375-2200

Provider Enumeration Date	:	09/15/2014
Last Update Date	:	01/08/2026

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