| Rubango International | |
|
1905 Harney St Ste 714 Omaha NE 68102-2314 | |
| (402) 249-4790 | |
| Not Available |
| Full Name | Rubango International |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 Harney St Ste 714, Omaha, Nebraska |
| Authorized Official Name and Position | Kani-nsimire Rubango (MENTAL HEALTH THERAPIST/ OWNER) |
| Authorized Official Contact | 4027140762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubango International 1905 Harney St Ste 714 Omaha NE 68102-2314 Ph: (402) 249-4790 | Rubango International 1905 Harney St Ste 714 Omaha NE 68102-2314 Ph: (402) 249-4790 |
| NPI Number | 1093337610 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Medicare PECOS PAC ID | 2668887928 |
|---|---|
| Medicare Enrollment ID | O20210218001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093337610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kani-nsimire N Rubango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053707968 PECOS PAC ID: 6709122039 Enrollment ID: I20210308000346 |
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