Provider Demographics
NPI:1598418907
Name:CITY OF LINCOLN, NEBRASKA
Entity Type:Organization
Organization Name:CITY OF LINCOLN, NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIRION
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYLOR BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-441-7511
Mailing Address - Street 1:1005 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-3655
Mailing Address - Country:US
Mailing Address - Phone:402-441-6159
Mailing Address - Fax:
Practice Address - Street 1:1005 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-3655
Practice Address - Country:US
Practice Address - Phone:402-441-6159
Practice Address - Fax:402-441-6699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF LINCOLN, NEBRASKA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026877200Medicaid