Organization Name: | OMAHA TRIBE OF NEBRASKA |
NPI Number: | 1871977918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WEHNONA STABLER (CEO) |
Mailing Address: | 100 Indian Hills Dr Macy |
State: | NE US |
Postal Code: | 680393023 |
Phone Number: | 4028375381 |
Fax Number: | 4028375303 |
NPI Enumeration Date: | 07/18/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |