Provider Demographics
NPI:1720500374
Name:ONEHEALTH NEBRASKA, LLC
Entity Type:Organization
Organization Name:ONEHEALTH NEBRASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-261-9530
Mailing Address - Street 1:4600 VALLEY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4844
Mailing Address - Country:US
Mailing Address - Phone:402-261-9530
Mailing Address - Fax:402-817-0337
Practice Address - Street 1:4600 VALLEY RD STE 250
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4856
Practice Address - Country:US
Practice Address - Phone:402-261-9530
Practice Address - Fax:402-817-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization