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NPI Code Detail

MEDICARE: NEBRASKA MEDICAL CENTER

MEDICARE: NEBRASKA MEDICAL CENTER
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1891721395
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEBRASKA MEDICAL CENTER
Provider Business Mailing Address
First Line : 4200 DOUGLAS ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2705
Country : US
Telephone Number : 402-552-3222
Fax Number : 402-552-2172
Provider Business Practice Location Address
First Line : 4200 DOUGLAS ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2705
Country : US
Telephone Number : 402-552-3222
Fax Number : 402-552-2172
Authorized Official
Title or Position : CFO
Name : MS. STEPHANIE DAUBERT
Credential :
Telephone Number : 402-552-2889
Provider Enumeration Date : 06/25/2006
Last Update Date : 05/01/2018

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Directions to “NEBRASKA MEDICAL CENTER ” Practice Location

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