NPIMap

Organization Active NPI

Nebraska Urban Indian Health Coalition

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1578736864
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SATC 067 Issued in NE
Legal business name
NEBRASKA URBAN INDIAN HEALTH COALITION
Practice address
2240 Landon Court
Omaha, NE 68102
Phone
(402) 346-0902
Fax
(402) 342-5290
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mrs. Donna M Polk-Primm, PH.D, LMHP
Title
Executive Director
Phone
(402) 346-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SATC 067 NE Primary

Addresses

Primary practice location

2240 Landon Court
Omaha, NE 68102

Mailing address

2240 Landon Court
Omaha, NE 68102
Phone (402) 346-0902

Other identifiers 1

IdentifierTypeStateIssuer
10025228500MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Nebraska Urban Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1578736864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 LANDON COURT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68102",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 LANDON COURT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68102",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA URBAN INDIAN HEALTH COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "POLK-PRIMM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-346-0902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D, LMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "SATC 067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025228500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.