Provider Demographics
NPI:1366463606
Name:PLANNED PARENTHOOD OF NEBRASKA AND COUNCIL BLUFFS
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF NEBRASKA AND COUNCIL BLUFFS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:SEREE
Authorized Official - Last Name:PERSSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-441-3300
Mailing Address - Street 1:2246 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1121
Mailing Address - Country:US
Mailing Address - Phone:402-441-3300
Mailing Address - Fax:402-441-3307
Practice Address - Street 1:2246 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1121
Practice Address - Country:US
Practice Address - Phone:402-441-3300
Practice Address - Fax:402-441-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110707261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250887-00Medicaid
NE100250887-00Medicaid