Healthcare Provider Details

I. General information

NPI: 1891284022
Provider Name (Legal Business Name): WINNEBAGO TRIBE OF NEBRASKA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SOUTH BLUFF STREET
WINNEBAGO NE
68071
US

IV. Provider business mailing address

225 BLUFF ST
WINNEBAGO NE
68071-9703
US

V. Phone/Fax

Practice location:
  • Phone: 402-878-2231
  • Fax:
Mailing address:
  • Phone: 402-878-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number State

VIII. Authorized Official

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