Basic Information
| Provider Information | |||||||||
| NPI: | 1487251120 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEBRASKA METHODIST HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 825 S 169TH ST | ||||||||
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| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681189300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023546291 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8303 DODGE ST | ||||||||
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| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681144108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023544000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2020 | ||||||||
| LastUpdateDate: | 11/13/2020 | ||||||||
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| AuthorizedOfficialLastName: | FRANCIS | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP FIANCE AND CFO | ||||||||
| AuthorizedOfficialTelephone: | 4023545438 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.