NPIMap

Organization Active NPI

Ponca Tribe of Nebraska

Doing business as Ponca Health Services

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lincoln, NE
National Provider Identifier
1275103103
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
PONCA TRIBE OF NEBRASKA
Doing business as
Ponca Health Services
Practice address
1600 Windhoek Dr
Lincoln, NE 68512-1272
Phone
(402) 738-3150
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Rebecca L Crase
Title
Director of Business Services
Phone
(402) 315-2760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

1600 Windhoek Dr
Lincoln, NE 68512-1272

Mailing address

5805 S 86TH Cir
Omaha, NE 68127-4145
Phone (402) 738-3150

Other names 1

  • Ponca Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ponca Tribe of Nebraska9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1275103103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 S 86TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681274145",
            "telephone_number": "402-738-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WINDHOEK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121272",
            "telephone_number": "402-738-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCA TRIBE OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "CRASE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "402-315-2760"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponca Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.