Provider Demographics
NPI:1356307581
Name:NEBRASKA MEDICAL CENTER
Entity Type:Organization
Organization Name:NEBRASKA MEDICAL CENTER
Other - Org Name:THE NEBRASKA MEDICAL CENTER - NEBRASKA MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-552-2889
Mailing Address - Street 1:987400 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-7400
Mailing Address - Country:US
Mailing Address - Phone:402-552-2040
Mailing Address - Fax:402-552-2512
Practice Address - Street 1:987400 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-7400
Practice Address - Country:US
Practice Address - Phone:402-552-2040
Practice Address - Fax:402-552-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE207P00000X, 332B00000X
NE260011282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECE0469OtherRAILROAD MEDICARE PRO FEE
IA0510560Medicaid
IA0507418Medicaid
IA0507459Medicaid
NE=========-26Medicaid
NECE0469OtherRAILROAD MEDICARE PRO FEE
NE=========-57Medicaid
NE=========-02Medicaid