Provider Demographics
NPI:1033608328
Name:WINNEBAGO TRIBE OF NEBRASKA
Entity Type:Organization
Organization Name:WINNEBAGO TRIBE OF NEBRASKA
Other - Org Name:WINNEBAGO COMPREHENSIVE HEALTHCARE SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEWEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-616-9319
Mailing Address - Street 1:225 S BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071-0767
Mailing Address - Country:US
Mailing Address - Phone:405-878-2231
Mailing Address - Fax:
Practice Address - Street 1:225 SOUTH BLUFF STREET
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071
Practice Address - Country:US
Practice Address - Phone:402-878-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center