Provider Demographics
NPI:1689150112
Name:WINNEBAGO TRIBE OF NEBRASKA WINNEBAGO COMPREHENSIVE HEALTHCARE
Entity Type:Organization
Organization Name:WINNEBAGO TRIBE OF NEBRASKA WINNEBAGO COMPREHENSIVE HEALTHCARE
Other - Org Name:TWELVE CLANS UNITY HOSPITAL
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:PO BOX HH
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:402-878-2231
Mailing Address - Fax:
Practice Address - Street 1:225 BLUFF ST
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-9703
Practice Address - Country:US
Practice Address - Phone:402-242-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINNEBAGO TRIBE OF NEBRASKA WINNEBAGO COMPREHENSIVE HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-18
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital