Healthcare Provider Details

I. General information

NPI: 1649157835
Provider Name (Legal Business Name): NEBRASKA HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 PINNACLE DR
PAPILLION NE
68046-6242
US

IV. Provider business mailing address

1860 S LAKELINE BLVD
CEDAR PARK TX
78613-3872
US

V. Phone/Fax

Practice location:
  • Phone: 512-885-0418
  • Fax:
Mailing address:
  • Phone: 512-506-8503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: NICOLE CAMPBELL
Title or Position: DIRECTOR OF PATIENT ACCESS
Credential:
Phone: 512-948-1752