Organization
DOUGLAS COUNTY NEBRASKA
Active
Parent organization
DOUGLAS COUNTY NEBRASKA
Other names
Douglas County Health Department Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOUGLAS COUNTY NEBRASKA
Authorized official
KELLY MCCAULEY (CLINIC COORDINATOR)
(402) 444-7312
Entity
Organization
Contact information
Practice address
1111 S 41ST ST, OMAHA, NE 68105-1803
(402) 444-7471
(402) 546-0709
Mailing address
1111 S 41ST ST, OMAHA, NE 68105-1803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063542884
—
NE
05
—
1699989442
—
NE
05
—
1750890299
—
NE
Enumeration date
08/04/2025
Last updated
08/05/2025
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