STATE OF NEBRASKA DEPT OF ADMIN SERVICES

NPI # 

Practice Address:

2610 N 20Th St E

Omaha, NE, 68110

Practice Phone:

402-522-7136

Practice Fax:

402-595-2822

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X

Updated by NPPES on 6/5/2024. You can view the original data set for NPI # 1447091004 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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STATE OF NEBRASKA DEPT OF ADMIN SERVICES's

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STATE OF NEBRASKA DEPT OF ADMIN SERVICES's

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