NPIMap

Organization Active NPI

Board of Regents, University of Nebraska

  • Student Health Clinic/Center
  • Kearney, NE
National Provider Identifier
1063164523
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BOARD OF REGENTS, UNIVERSITY OF NEBRASKA
Practice address
2510 11TH Avenue, Msab RM 184
Kearney, NE 68849
Phone
(308) 865-8964
Fax
(308) 865-8218
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF REGENTS, UNIVERSITY OF NEBRASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon Watts
Title
Vice Chancellor Business and Financ
Phone
(308) 865-8205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

2510 11TH Avenue, Msab RM 184
Kearney, NE 68849

Mailing address

2510 11TH Avenue, McAb 184
Kearney, NE 68849
Phone (308) 865-8218

Other names 1

  • University of Nebraska at Kearney Student Health Other name

National Provider Directory

National Provider Directory
Tax ID family
The BRD Regents U Nebraska17 organizations share this tax ID, including this one
Part of
The BRD Regents U Nebraska

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2510 11th Ave
#184
Kearney, NE 68849

2510 11th Ave
Rm 184
Kearney, NE 68849
Phone (308) 865-8964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1063164523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 11TH AVENUE, MCAB 184",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68849",
            "telephone_number": "308-865-8218",
            "fax_number": "308-865-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 11TH AVENUE, MSAB RM 184",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68849",
            "telephone_number": "308-865-8964",
            "fax_number": "308-865-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS, UNIVERSITY OF NEBRASKA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS, UNIVERSITY OF NEBRASKA",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "VICE CHANCELLOR BUSINESS AND FINANC",
        "authorized_official_telephone_number": "308-865-8205"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Nebraska at Kearney Student Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.