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NPI Code Detail

MEDICARE: JEWISH FEDERATION OF OMAHA, INC

MEDICARE: JEWISH FEDERATION OF OMAHA, 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
1314000000XSkilled Nursing Facility264015NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160018OTHERNEBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1295733764
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH FEDERATION OF OMAHA, INC
Provider Business Mailing Address
First Line : 323 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68154-2106
Country : US
Telephone Number : 402-330-4272
Fax Number :
Provider Business Practice Location Address
First Line : 323 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68154-2106
Country : US
Telephone Number : 402-330-4272
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. CHRIS ULVEN
Credential :
Telephone Number : 402-330-4272
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/18/2016

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Directions to “JEWISH FEDERATION OF OMAHA, INC ” Practice Location

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