Healthcare Provider Details

I. General information

NPI: 1295720811
Provider Name (Legal Business Name): WINNEBAGO TRIBE OF NEBRASKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 BLUFF ST
WINNEBAGO NE
68071
US

IV. Provider business mailing address

225 BLUFF ST
WINNEBAGO NE
68071
US

V. Phone/Fax

Practice location:
  • Phone: 402-745-3950
  • Fax: 402-878-2237
Mailing address:
  • Phone: 402-745-3950
  • Fax: 402-878-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1330
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BETH WEWEL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 402-745-3950