Provider Demographics
NPI:1356720775
Name:UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Entity type:Organization
Organization Name:UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE CHANCELLOR, BUSINESS & FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-554-3513
Mailing Address - Street 1:6001 DODGE ST
Mailing Address - Street 2:FH 024C
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68182-0666
Mailing Address - Country:US
Mailing Address - Phone:402-554-2774
Mailing Address - Fax:402-554-4971
Practice Address - Street 1:6001 DODGE ST
Practice Address - Street 2:FH 024C
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68182-0666
Practice Address - Country:US
Practice Address - Phone:402-554-2774
Practice Address - Fax:402-554-4971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center