# DOUGLAS COUNTY NEBRASKA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Douglas County Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134196058
- **Authorized official:** ERIN NELSON (ADMINISTRATOR)
- **Authorized official phone:** (402) 444-7041

## Contact information

- **Practice address:** 4102 WOOLWORTH AVE, OMAHA, NE 68105-1899
- **Practice address phone:** (402) 444-6091
- **Practice address fax:** (402) 444-7369
- **Mailing address:** 4102 WOOLWORTH AVE, OMAHA, NE 68105-1899
- **Mailing address phone:** (402) 444-6091
- **Mailing address fax:** (402) 444-7369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264024 | NE | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 12/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000241 | BC/BS SKILLED NURSING | NE |