Healthcare Provider Details

I. General information

NPI: 1881048841
Provider Name (Legal Business Name): NORTH OMAHA AREA HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 AMES AVE
OMAHA NE
68104-2702
US

IV. Provider business mailing address

5620 AMES AVE
OMAHA NE
68104-2702
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-0737
  • Fax: 402-932-6844
Mailing address:
  • Phone: 402-933-0737
  • Fax: 402-932-6844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IRA F COMBS
Title or Position: CEO
Credential: RN
Phone: 402-933-0737