Organization
PONCA TRIBE OF NEBRASKA
Active
Other names
Ponca Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L CRASE (DIRECTOR OF BUSINESS SERVICES)
(402) 315-2760
Entity
Organization
Contact information
Practice address
1600 WINDHOEK DR, LINCOLN, NE 68512-1272
(402) 738-3150
Mailing address
5805 S 86TH CIR, OMAHA, NE 68127-4145
(402) 738-3150
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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