| Indian Hills Elementary School Based Clinic | |
|
3121 U St Omaha NE 68107-3378 | |
| (402) 933-4968 | |
| (402) 933-4988 |
| Full Name | Indian Hills Elementary School Based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3121 U St, Omaha, Nebraska |
| Authorized Official Name and Position | Andrea M. Skolkin (CEO) |
| Authorized Official Contact | 4025028842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Hills Elementary School Based Clinic 4920 So. 30th Street Ste 103 Omaha NE 68107-1656 Ph: (402) 734-4110 | Indian Hills Elementary School Based Clinic 3121 U St Omaha NE 68107-3378 Ph: (402) 933-4968 |
| NPI Number | 1063725554 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 3173435153 |
|---|---|
| Medicare Enrollment ID | O20100928001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063725554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | HC018 (Nebraska) | Primary |
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