# STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
- **Other names:** State of Nebraska Department of Corrections
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285499715
- **Legal business name:** STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
- **Authorized official:** DR. JEFFREY P. KASSELMAN MD (PHYSICIAN)
- **Authorized official phone:** (402) 479-5636

## Contact information

- **Practice address:** 801 W PROSPECTOR PL BLDG 1, LINCOLN, NE 68522-1970
- **Practice address phone:** (402) 479-5636
- **Mailing address:** 801 W PROSPECTOR PL BLDG 1, LINCOLN, NE 68522-1970
- **Mailing address phone:** (402) 479-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 02/14/2024