MEDICARE: CITY OF OMAHA

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	3416L0300X	Land Ambulance	5043	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590006716	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	90421	OTHER	NE	BLUE CROSS - BLUE SHIELD

General Provider Information

NPI Number	:	1083798912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF OMAHA

Provider Business Mailing Address
First Line	:	PO BOX 30206
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68103-1306
Country	:	US
Telephone Number	:	402-444-5700
Fax Number	:	402-444-6378

Provider Business Practice Location Address
First Line	:	1516 JACKSON ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68102-3110
Country	:	US
Telephone Number	:	402-444-5700
Fax Number	:	402-444-6378

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JACKIE NUNEZ
Credential	:
Telephone Number	:	914-432-8453

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	05/19/2022

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1942588777 — DANIEL JEROME SEIER PTA
Practice Location Address:

3110 SCOTT CIR
OMAHA, NE
68112-2604

Practice Phone: 402-203-6112
Practice Fax: 402-932-1888

1376153122 — DAVID PETER KENNEDY PTA
Practice Location Address:

3110 SCOTT CIR
OMAHA, NE
68112-2604

Practice Phone: 402-889-6161
Practice Fax:

1265360309 — JOCELYN DAWN HAMILTON
Practice Location Address:

4825 DODGE ST
OMAHA, NE
68132-3110

Practice Phone: 402-955-7676
Practice Fax:

1326045998 — INFINIA AT OMAHA
Practice Location Address:

3110 SCOTT CIR
OMAHA, NE
68112-2631

Practice Phone: 402-455-6636
Practice Fax: 402-455-0407

1881844017 — LTC HEALTHCARE AT FLORENCE, INC.
Practice Location Address:

3110 SCOTT CIRCLE
OMAHA, NE
68112

Practice Phone: 402-455-6636
Practice Fax:

Directions to “CITY OF OMAHA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.