| Nebraska Urban Indian Medical Center | |
|
2331 Fairfield St Lincoln NE 68521-1348 | |
| (402) 434-7177 | |
| (402) 434-7180 |
| Full Name | Nebraska Urban Indian Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2331 Fairfield St, Lincoln, Nebraska |
| Authorized Official Name and Position | Donna L Polk-primm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4023460902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebraska Urban Indian Medical Center 2240 Landon Ct Omaha NE 68102-2414 Ph: (402) 346-0902 | Nebraska Urban Indian Medical Center 2331 Fairfield St Lincoln NE 68521-1348 Ph: (402) 434-7177 |
| NPI Number | 1033184866 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 10/20/2011 |
| Medicare PECOS PAC ID | 9436183902 |
|---|---|
| Medicare Enrollment ID | O20050923000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033184866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | HC041 (Nebraska) | Primary |
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