Organization
PONCA TRIBE OF NEBRASKA
Active
Organization
PONCA TRIBE OF NEBRASKA
Active
Other names
Ponca Hills Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LEE (CHIEF EXECUTIVE OFFICER)
(402) 734-5275
Entity
Organization
Contact information
Practice address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
(402) 371-7564
Mailing address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
(402) 731-7564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
10/22/2012
Last updated
10/23/2012
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