Healthcare Provider Details

I. General information

NPI: 1659461895
Provider Name (Legal Business Name): NEBRASKA METHODIST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 DODGE STREET
OMAHA NE
68114
US

IV. Provider business mailing address

PO BOX 2797
OMAHA NE
68103-2797
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-4000
  • Fax: 402-354-8735
Mailing address:
  • Phone: 402-354-4230
  • Fax: 402-354-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number260008
License Number StateNE

VIII. Authorized Official

Name: MR. STEVEN L. GOESER
Title or Position: EXECUTIVE VICE PRESIDENT & COO
Credential:
Phone: 402-354-4449