Organization
STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
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
Legal business name
STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
Authorized official
DR. JEFFREY P. KASSELMAN MD (PHYSICIAN)
(402) 479-5636
Entity
Organization
Contact information
Practice address
801 W PROSPECTOR PL BLDG 1, LINCOLN, NE 68522-1970
(402) 479-5636
Mailing address
801 W PROSPECTOR PL BLDG 1, LINCOLN, NE 68522-1970
(402) 479-5636
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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