MEDICARE: ONEWORLD COMMUNITY HEALTH CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1063121549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEWORLD COMMUNITY HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	4920 S 30TH ST STE 103
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-1656
Country	:	US
Telephone Number	:	402-347-4110
Fax Number	:	402-734-3990

Provider Business Practice Location Address
First Line	:	2723 Q ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3408
Country	:	US
Telephone Number	:	402-913-2400
Fax Number	:	402-557-5621

Authorized Official
Title or Position	:	CEO
Name	:	ANDREA SKOLKIN
Credential	:
Telephone Number	:	402-502-8842

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	11/23/2022

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