PONCA TRIBE OF NEBRASKA (NPI# 1013260561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013260561 |
| Entity Type | Organization |
| Organization Name | PONCA TRIBE OF NEBRASKA |
| Other Organization Name | PONCA HILLS HEALTH AND WELLNESS CENTER PHARMACY |
| Practice Address |
1800 Syracuse Ave Norfolk NE 68701-2458 |
| Mailing Address |
2602 J St Omaha NE 68107-1643 |
| Practice Telephone | 4023718834 |
| Practice Fax Number | 4023717564 |
| Mailing Telephone | 4027345275 |
| Mailing Fax Number | 4027345708 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MR. DONALD LEE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4027345275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Ponca Hills Health and Wellness Center Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598930117 | Ponca Tribe of Nebraska | Community/Behavioral Health | 1701 E St, Lincoln, NE 68508-3429 | 2008-04-24 |
| 1447434261 | Ponca Tribe of Nebraska | Community/Behavioral Health | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2007-12-28 |
| 1194244939 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2017-09-13 |
| 1740681832 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2014-09-09 |
| 1285987735 | Ponca Tribe of Nebraska | Clinic/Center | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 1760778385 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Fred Leroy Health and Wellness Center Pharmacy, Omaha, NE 68107-1643 | 2011-06-22 |
| 1295058733 | Ponca Tribe of Nebraska | Community/Behavioral Health | 2602 J St, Omaha, NE 68107-1643 | 2010-03-11 |
| 1356673040 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Omaha, NE 68107-1643 | 2010-02-04 |
| 1710172879 | Ponca Tribe of Nebraska | Case Management | 2602 J St, Omaha, NE 68107-1643 | 2007-09-12 |
| Street Address |
1800 SYRACUSE AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447434261 | Ponca Tribe of Nebraska | Community/Behavioral Health | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2007-12-28 |
| 1063819605 | Kimberley Kay Yunker | Counselor | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2014-11-25 |
| 1144564667 | Megan Ashley Altwine | Pharmacist | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-11-21 |
| 1285987735 | Ponca Tribe of Nebraska | Clinic/Center | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 1427377746 | Rhonda Renee Oestreich | Counselor | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2010-05-26 |
| 1841453016 | Janet Sue Custer | Counselor | 1800 Syracuse Ave, Norfolk, NE 68702 | 2008-07-08 |
| 1265694103 | Danielle Denise Kennebeck | Counselor | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451730 | Winnebago Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Us Highway 77 75, Winnebago, NE 68071 | 2007-03-06 |
| 1972630234 | Santee Clinic Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 S. Visiting Eagle Street, Niobrara, NE 68760 | 2007-02-27 |
| 1891284022 | Winnebago Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-03 |
| 1760778385 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Fred Leroy Health and Wellness Center Pharmacy, Omaha, NE 68107-1643 | 2011-06-22 |
| 1356673040 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2602 J St, Omaha, NE 68107-1643 | 2010-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.