Healthcare Provider Details

I. General information

NPI: 1144138108
Provider Name (Legal Business Name): WINNEBAGO TRIBE OF NEBRASKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 BLUFF ST
WINNEBAGO NE
68071-9703
US

IV. Provider business mailing address

225 BLUFF ST
WINNEBAGO NE
68071-9703
US

V. Phone/Fax

Practice location:
  • Phone: 402-745-3950
  • Fax: 402-243-1561
Mailing address:
  • Phone: 402-745-3950
  • Fax: 402-243-1561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BETH M WEWEL
Title or Position: CFO
Credential:
Phone: 402-745-3950