Provider Demographics
NPI:1942513494
Name:ONEWORLD COMMUNITY HEALTH CENTERS, INC.
Entity Type:Organization
Organization Name:ONEWORLD COMMUNITY HEALTH CENTERS, INC.
Other - Org Name:SPRING LAKE ELEMENTARY SCHOOL BASED HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SKOLKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-502-8842
Mailing Address - Street 1:4920 SOUTH 30TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-1656
Mailing Address - Country:US
Mailing Address - Phone:402-932-7014
Mailing Address - Fax:402-932-7041
Practice Address - Street 1:4215 S 20TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2018
Practice Address - Country:US
Practice Address - Phone:402-932-7014
Practice Address - Fax:402-932-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHC018261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE281816Medicare Oscar/Certification