Healthcare Provider Details

I. General information

NPI: 1205831237
Provider Name (Legal Business Name): OMAHA TRIBE OF NEBRASKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 SENIOR CIRCLE
MACY NE
68039-4018
US

IV. Provider business mailing address

PO BOX 250
MACY NE
68039-0250
US

V. Phone/Fax

Practice location:
  • Phone: 402-837-5381
  • Fax: 402-837-5303
Mailing address:
  • Phone: 402-837-5381
  • Fax: 402-837-5303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number1522
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1522
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1522
License Number StateNE

VIII. Authorized Official

Name: MS. SARAH ROWLAND
Title or Position: CEO
Credential:
Phone: 402-837-5381