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NEBRASKA URBAN INDIAN HEALTH COALITION NPI 1700175221


NPI Information

NPI: 1700175221
Provider Name: NEBRASKA URBAN INDIAN HEALTH COALITION
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 28D2109342

Address:
2240 LANDON CT
OMAHA, NE
ZIP 68102
Phone: (402) 346-0902
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NEBRASKA URBAN INDIAN HEALTH COALITION is a substance abuse rehabilitation facility in Omaha, NE. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEBRASKA URBAN INDIAN HEALTH COALITION NPI is 1700175221. The provider is registered as an organization entity type.

The provider's business location address is:

2240 LANDON CT
OMAHA, NE
ZIP 68102-414
Phone: (402) 346-0902
Fax: (402) 342-5290

The provider's authorized official is Donna Polk-primm .
The authorized official title is Chief Executive Officer and has the following contact phone number (402) 346-0902.

The CLIA number assigned to this NPI record is 28D2109342 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 4/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility862NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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