PONCA TRIBE OF NEBRASKA (NPI# 1710172879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710172879 |
| Entity Type | Organization |
| Organization Name | PONCA TRIBE OF NEBRASKA |
| Other Organization Name | PONCA HILLS HEALTH & WELLNESS CENTER |
| Practice Address |
2602 J St Omaha NE 68107-1643 |
| Mailing Address |
5805 S 86th Cir Omaha NE 68127-4145 |
| Practice Telephone | 4027333612 |
| Practice Fax Number | 4027347156 |
| Mailing Telephone | 4023152760 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | KATHLEEN M RIEB (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4023152772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fred LeRoy Health & Wellness Center | Doing Business As Name - Organization |
| Ponca Behavioral Health Services | Doing Business As Name - Organization |
| Ponca Clinical Services | Doing Business As Name - Organization |
| Ponca Dental Services | Doing Business As Name - Organization |
| Ponca Health Services | Doing Business As Name - Organization |
| Ponca Hills Health & Wellness Center | Doing Business As Name - Organization |
| Ponca Pharmacy Services | Doing Business As Name - Organization |
| Ponca Population Health Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 6th St, Sioux City, IA 511034405 | 7122580500 | 7122580762 |
| 1701 E St, Lincoln, NE 685083429 | 4024389222 | 4024389226 |
| 1800 Syracuse Ave, Norfolk, NE 687012458 | 4023718780 | 4023794293 |
| 2528 Woodbine St, Niobrara, NE 687606111 | 4028573391 | 4028573736 |
| 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 |
| 1013260561 | Ponca Tribe of Nebraska | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1800 Syracuse Ave, Norfolk, NE 68701-2458 | 2012-10-22 |
| 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 |
| Street Address |
2602 J ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700871381 | Mary Margaret Murphy | Nurse Practitioner | 2602 J St, Omaha, NE 68107-1643 | 2005-09-20 |
| 1033739537 | Rachael M Bogacz | Counselor | 2602 J St, Omaha, NE 68107-1643 | 2020-04-24 |
| 1821632266 | Alison Jordan | Dietitian, Registered | 2602 J St, Omaha, NE 68107-1643 | 2019-10-29 |
| 1669964003 | Tayler Danyelle Fuller | Dentist | 2602 J St, Omaha, NE 68107-1643 | 2018-06-01 |
| 1205335502 | Lorri Lynne Mckean | Dental Hygienist | 2602 J St, Omaha, NE 68107-1643 | 2018-02-02 |
| 1326567660 | Maria Douthett | Nurse Practitioner | 2602 J St, Omaha, NE 68107-1643 | 2017-09-19 |
| 1194244939 | Ponca Tribe of Nebraska | Clinic/Center | 2602 J St, Omaha, NE 68107-1643 | 2017-09-13 |
| 1851772776 | Tracy Lautt | Dental Hygienist | 2602 J St, Omaha, NE 68107-1643 | 2015-06-16 |
| 1326441098 | Whitney Anne Arnold | Registered Nurse | 2602 J St, Omaha, NE 68107-1643 | 2014-10-08 |
| 1679974455 | Nicole Leigh Rezac | Dietitian, Registered | 2602 J St, Omaha, NE 68107-1643 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
| 1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1649614389 | Alan D Jensen Md P C | Clinic/Center | 8761 W Center Rd Ste B, Omaha, NE 68124-2166 | 2013-04-24 |
| 1952573081 | Mid America Ear, Nose & Throat Clinic, PC | Clinic/Center | 7710 Mercy Rd Ste 205, Omaha, NE 68124-2346 | 2008-03-28 |
| 1346466745 | Creighton University Medical Center | Clinic/Center | 601 N 30th St Ste 3m-100, Omaha, NE 68131-2137 | 2007-04-17 |
| 1003829383 | Powers Chiropractic, P.C. | Clinic/Center | 11343 Wright Cir, Omaha, NE 68144-4738 | 2006-08-15 |
| 1023044203 | Results Chiropractic | Clinic/Center | 6005 Maple St, Omaha, NE 68104-4103 | 2006-06-23 |
| 1861455859 | John R. Kirchner, Md | Clinic/Center | 13906 Gold Cir, Suite 101, Omaha, NE 68144-2336 | 2006-04-10 |
| 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.