# DOUGLAS COUNTY NEBRASKA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DOUGLAS COUNTY NEBRASKA
- **Other names:** Douglas County Health Department Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508740309
- **Legal business name:** DOUGLAS COUNTY NEBRASKA
- **Authorized official:** KELLY MCCAULEY (CLINIC COORDINATOR)
- **Authorized official phone:** (402) 444-7312

## Contact information

- **Practice address:** 1111 S 41ST ST, OMAHA, NE 68105-1803
- **Practice address phone:** (402) 444-7471
- **Practice address fax:** (402) 546-0709
- **Mailing address:** 1111 S 41ST ST, OMAHA, NE 68105-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 163WC1500X | Community Health Registered Nurse | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 08/05/2025