Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Active
Parent organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Other names
NDCS Nebraska Correctional Youth Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Authorized official
CASSANDRA JANE PUTNAM (HEALTH CARE ADMINISTRATOR)
(402) 479-5630
Entity
Organization
Contact information
Practice address
2610 N 20TH ST E, OMAHA, NE 68110
(402) 522-7136
(402) 595-2822
Mailing address
2610 N 20TH ST E, OMAHA, NE 68110
(402) 522-7136
(402) 595-2822
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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