=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184581878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEBRASKA HOSPITAL AT MILLARD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14404 STONEY BROOK BLVD
-----------------------------------------------------
City | OMAHA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68137-2613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-506-8503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1860 S LAKELINE BLVD
-----------------------------------------------------
City | CEDAR PARK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78613-3872
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-506-8503
-----------------------------------------------------
Fax | 512-506-8503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PATIENT ACCESS
-----------------------------------------------------
Name | NICOLE CAMPBELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 512-948-1752
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------