Provider Demographics
NPI:1568585370
Name:UNMC
Entity Type:Organization
Organization Name:UNMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:402-559-6802
Mailing Address - Street 1:15812 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2356
Mailing Address - Country:US
Mailing Address - Phone:402-926-6088
Mailing Address - Fax:
Practice Address - Street 1:15812 PARKER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2356
Practice Address - Country:US
Practice Address - Phone:402-926-6088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital