Oneworld Northwest | |
4229 N 90th St Omaha NE 68134-4136 | |
(402) 401-6000 | |
(402) 401-6015 |
Full Name | Oneworld Northwest |
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Speciality | Clinic/Center |
Location | 4229 N 90th St, Omaha, Nebraska |
Authorized Official Name and Position | Andrea M Skolkin (CHIEF EXECUTIVE OFFICE) |
Authorized Official Contact | 4025028842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oneworld Northwest 4229 N 90th St Omaha NE 68134-4136 Ph: (402) 401-6000 | Oneworld Northwest 4229 N 90th St Omaha NE 68134-4136 Ph: (402) 401-6000 |
NPI Number | 1417388919 |
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Provider Enumeration Date | 12/09/2013 |
Last Update Date | 03/12/2014 |
Medicare PECOS PAC ID | 3173435153 |
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Medicare Enrollment ID | O20140214000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417388919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | HC018 (Nebraska) | Primary |
Provider Name | Dara E Ramirez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447774740 PECOS PAC ID: 9436494457 Enrollment ID: I20181220000130 |
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