# THE NEBRASKA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861626558
- **Authorized official:** KELLY FAIRBANKS PSY.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (402) 559-5031

## Contact information

- **Practice address:** 984185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4185
- **Practice address phone:** (402) 559-5031
- **Practice address fax:** (402) 559-9592
- **Mailing address:** 13737 W LAKEVIEW RD, RAYMOND, NE 68428-9500
- **Mailing address phone:** (214) 783-4973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 911858433 | NE | Yes |

## Other

- **Enumeration date:** 05/08/2009
- **Last updated:** 05/08/2009
