NEBRASKA URBAN INDIAN HEALTH COALITION (NPI# 1700175221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700175221 |
| Entity Type | Organization |
| Organization Name | NEBRASKA URBAN INDIAN HEALTH COALITION |
| Practice Address |
2240 Landon Ct Omaha NE 68102-2414 |
| Practice Telephone | 4023460902 |
| Practice Fax Number | 4023425290 |
| Mailing Telephone | 4023460902 |
| Mailing Fax Number | 4023425290 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. DONNA POLK-PRIMM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4023460902 |
| Authorized Official Credential | PHD, LMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 862 | NE | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1619332459 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Ct, Omaha, NE 68102-2414 | 2015-12-21 |
| 1083810980 | Nebraska Urban Indian Health Coalition | Substance Abuse Rehabilitation Facility | 2240 Landon Ct, Omaha, NE 68102-2414 | 2007-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEBRASKA URBAN INDIAN HEALTH COALITION INC | 2240 Landon Ct, Omaha, NE 68102-2414 |
| Street Address |
2240 LANDON CT |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707891 | Donna Lee Polk-primm | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2007-06-13 |
| 1053923458 | Lestina Leona Beltran | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2020-08-18 |
| 1306456553 | Sherry Lynne Sutton | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2020-08-03 |
| 1316455447 | Trina M Janis | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2018-01-10 |
| 1619332459 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Ct, Omaha, NE 68102-2414 | 2015-12-21 |
| 1154796084 | Kenneth Beau Boryca | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2015-12-03 |
| 1497040828 | Clem Crazy Thunder | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2011-06-14 |
| 1164733630 | Brandy Lintz | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2010-06-29 |
| 1295992261 | Vince E Maytubby | Counselor | 2240 Landon Ct, Omaha, NE 68102-2414 | 2008-05-19 |
| 1083810980 | Nebraska Urban Indian Health Coalition | Substance Abuse Rehabilitation Facility | 2240 Landon Ct, Omaha, NE 68102-2414 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| 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 |
|---|---|---|---|---|
| 1538223623 | Alcoholics Resocialization Conditioning Help, Inc | Substance Abuse Rehabilitation Facility | 604 S 37th St, Omaha, NE 68105-1210 | 2006-12-21 |
| 1649369075 | Catholic Charities of The Archdiocese of Omaha Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St., Omaha Campus for Hope, Omaha, NE 68102-4101 | 2006-10-12 |
| 1861043796 | Infinite Avenues Counseling | Substance Abuse Rehabilitation Facility | 7117 Farnam St Ste 17, Omaha, NE 68132-3319 | 2019-09-23 |
| 1588101828 | Centerpointe, Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2017-01-25 |
| 1104362318 | Centerpointe, Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2017-01-11 |
| 1205135001 | Stephen Center, Inc. | Substance Abuse Rehabilitation Facility | 5217 S 28th St, Omaha, NE 68107-3402 | 2011-03-18 |
| 1386941185 | Angelo D Melgoza | Substance Abuse Rehabilitation Facility | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-02-15 |
| 1083810980 | Nebraska Urban Indian Health Coalition | Substance Abuse Rehabilitation Facility | 2240 Landon Ct, Omaha, NE 68102-2414 | 2007-06-26 |
| 1730393133 | Nova Treatment Community, Inc. | Substance Abuse Rehabilitation Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2007-05-09 |
| 1407952518 | Catholic Charities of The Archdiocese of Omaha Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2006-09-15 |
| Find all providers in OMAHA | ||||
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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.