Provider Demographics
NPI:1669770541
Name:UNIVERSITY OF NEBRASKA AT OMAHA
Entity type:Organization
Organization Name:UNIVERSITY OF NEBRASKA AT OMAHA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE VICE CHANCELLOR FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-554-2322
Mailing Address - Street 1:6001 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68182-2000
Mailing Address - Country:US
Mailing Address - Phone:402-554-2743
Mailing Address - Fax:402-554-2387
Practice Address - Street 1:6001 DODGE ST
Practice Address - Street 2:HPER 1ST FLOOR
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68182-2000
Practice Address - Country:US
Practice Address - Phone:402-554-2743
Practice Address - Fax:402-554-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center