Organization
PONCA TRIBE OF NEBRASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY REIB (HEALTH PROGRAM ADMINISTRATOR)
(712) 347-6781
Entity
Organization
Contact information
Practice address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
Mailing address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NE
Other
Enumeration date
12/28/2007
Last updated
04/20/2008
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