Organization Name: | WINNEBAGO TRIBE OF NEBRASKA |
NPI Number: | 1295720811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY ALDRICH (CAPTAIN) |
Mailing Address: | Hyw 77 & Industrial Pkway Winnebago |
State: | NE US |
Postal Code: | 68071 |
Phone Number: | 4025724019 |
Fax Number: | 4029658594 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 06/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |