Provider Demographics
NPI:1710978861
Name:WOMENS HEALTH OF NORTHEAST NEBRASKA PC
Entity Type:Organization
Organization Name:WOMENS HEALTH OF NORTHEAST NEBRASKA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-379-9999
Mailing Address - Street 1:PO BOX 409
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-0409
Mailing Address - Country:US
Mailing Address - Phone:402-379-9999
Mailing Address - Fax:402-379-8888
Practice Address - Street 1:2504 W BENJAMIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3120
Practice Address - Country:US
Practice Address - Phone:402-379-9999
Practice Address - Fax:402-379-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18105207V00000X
NE18027207V00000X
NE13342207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========13Medicaid
NE098626Medicare ID - Type Unspecified