institution
Ponca Tribe Of Nebraska
Health Service Clinic/Center in Omaha, Nebraska
NPI 1740681832

Ponca Tribe Of Nebraska is a Health Service Clinic/Center based in Omaha, NE and is specialized in Health Service. Ponca Tribe Of Nebraska practices in Omaha, NE. The NPI Number for Ponca Tribe Of Nebraska is 1740681832 and holds a License No. (Nebraska).

The current practice location address for Ponca Tribe Of Nebraska is 2602 J St, Omaha, NE and can be reached out via phone at 402-734-5275 and via fax at 402-734-5708.

Location: 2602 J St, Omaha, NE, 68107-1643
institution
Provider Profile Details
NPI Number
1740681832
Provider Name
Ponca Tribe Of Nebraska
Credential
Provider Entity Type
Organization
Address
2602 J St, Omaha, NE, 68107-1643
Phone Number
402-734-5275
Fax Number
402-734-5708
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1155 01 NE LICENSED MEDICAL NUTRITION THERAPIST
86004356 01 NE COMMISSION ON DIETETIC REGISTRATION
institution
Provider Business Practice Location Address Details
Address
2602 J St
City
State
Zip
68107-1643
Phone Number
402-734-5275
Fax Number
402-734-5708
person
Provider Business Mailing Address Details
Address
2602 J St
City
State
Zip
68107-1643
Phone Number
402-734-5275
Fax Number
402-734-5708
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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