Healthcare Provider Details

I. General information

NPI: 1629450887
Provider Name (Legal Business Name): NOBL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 06/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N 7TH ST STE 201
LINCOLN NE
68508-1379
US

IV. Provider business mailing address

201 N 7TH ST STE 201
LINCOLN NE
68508-1379
US

V. Phone/Fax

Practice location:
  • Phone: 402-216-7862
  • Fax:
Mailing address:
  • Phone: 402-216-7862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code2865X1600X
TaxonomyOperational (Transportable) Military General Acute Care Hospital
License Number
License Number StateNULL
# 8
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. BRETT MICHAEL BYMAN
Title or Position: CEO
Credential:
Phone: 402-216-7862