OMAHA TRIBE OF NEBRASKA (NPI# 1083114821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083114821 |
| Entity Type | Organization |
| Organization Name | OMAHA TRIBE OF NEBRASKA |
| Other Organization Name | OMAHA TRIBE ALCOHOL PROGRAM |
| Practice Address |
575 Indian Hills Drive Macy NE 68039-0250 |
| Mailing Address |
100 Indian Hills Drive Po Box 250 Macy NE 68039-0250 |
| Practice Telephone | 4028375381 |
| Practice Fax Number | 4028375271 |
| Mailing Telephone | 4028375381 |
| Mailing Fax Number | 4028375271 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | AUDREY L PARKER (HEALTH SYSTEMS SPECIALIST) |
| Authorized Official Telephone | 4028375381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Omaha Tribe Alcohol Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679092373 | Omaha Tribe of Nebraska | Ambulance | 100 Indian Hills Drive, Macy, NE 68039-3023 | 2017-09-13 |
| 1871977918 | Omaha Tribe of Nebraska | Clinic/Center | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2015-07-18 |
| 1609083914 | Omaha Tribe of Nebraska | Clinic/Center | 100 Indian Hills Drive, Macy, NE 68039-3023 | 2007-05-17 |
| 1114922143 | Omaha Tribe of Nebraska | Ambulance | 100 Indian Hills Drive, Macy, NE 68039-3023 | 2005-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OMAHA TRIBE OF NEBRASKA | 100 Health Center Dr, Macy, NE 68039-0000 |
| Street Address |
575 INDIAN HILLS DRIVE |
| City | MACY |
| State | NE |
| Zip Code | 68039-0250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712750 | Sudah Shaheb | Internal Medicine | 100 Indian Drive, Macy, NE 68039 | 2007-05-21 |
| 1629285192 | Keriane Nixon | Registered Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-16 |
| 1972717882 | Robin R Gordon | Registered Nurse | 100 Indian Hill Drive, Macy, NE 68039 | 2007-05-09 |
| 1477557080 | Patrick Stephen Cross | Physical Therapist | 100 Indian Hills Drive, Macy, NE 68039 | 2005-06-10 |
| 1881927655 | Traci Lyn Jenkins | Nurse Practitioner | 100 Indian Hills Drive, Macy, NE 68039 | 2009-09-11 |
| 1003080268 | Helene C Lincoln | Counselor | 100 Indian Hills Dr, Macy, NE 68039 | 2008-04-18 |
| 1689869778 | Christine Marie Burns | Counselor | 100 Indian Hills Drive, Macy, NE 68039 | 2007-09-11 |
| 1881804490 | Donna Lynn Morris | Dental Assistant | 100 Indian Hills Dr, Macy, NE 68039 | 2007-05-23 |
| 1104036904 | Natalie Grace Munoz | Licensed Practical Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-23 |
| 1992915797 | Guy A Kroger | Registered Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-23 |
| Find all providers in zip 68039 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099475 | Great Plains Area Regional Drug Dependency Unit | Substance Abuse Rehabilitation Facility | 113 S Bluff St, Winnebago, NE 68071-9704 | 2020-10-06 |
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1164044822 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 512 Verges Avenue, Norfolk, NE 68701-4050 | 2020-05-15 |
| 1124595004 | Life Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 1516 21st Ave, Scottsbluff, NE 69361-2736 | 2018-10-29 |
| 1245758093 | Better Tomorrows Counseling, LLC | Substance Abuse Rehabilitation Facility | 422 N Hastings Ave Ste 206, Hastings, NE 68901-5109 | 2017-08-31 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
| 1447676176 | Kevin Beckler | Substance Abuse Rehabilitation Facility | 1832 S 15th St, Lincoln, NE 68502-2410 | 2014-03-05 |
| 1265869739 | Kendra K Bevans | Substance Abuse Rehabilitation Facility | 1616 Urbana Ln, Lincoln, NE 68505-1573 | 2013-09-30 |
| 1992033567 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 305 N 9th St, Norfolk, NE 68701-3915 | 2009-11-19 |
| Find all providers with the same taxonomy | ||||
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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.