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)	HC018	NE

General Provider Information

NPI Number	:	1952330649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEWORLD COMMUNITY HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	4920 S 30TH ST
Second Line	:	SUITE #103
City	:	OMAHA
State	:	NE
Zip	:	68107-1590
Country	:	US
Telephone Number	:	402-502-8842
Fax Number	:	402-991-5642

Provider Business Practice Location Address
First Line	:	4920 S 30TH ST
Second Line	:	SUITE #103
City	:	OMAHA
State	:	NE
Zip	:	68107-1590
Country	:	US
Telephone Number	:	402-502-8842
Fax Number	:	402-991-5642

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/10/2014

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