Organization Active NPI

Lincoln Council on Alcoholism & Drugs

  • Local Education Agency (LEA)
  • Lincoln, NE
National Provider Identifier
1629105663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LINCOLN COUNCIL ON ALCOHOLISM & DRUGS
Practice address
914 L St
Lincoln, NE 68508-2228
Phone
(402) 475-2694
Fax
(402) 475-2699
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gaylord Lee Logan
Title
Finance Manager
Phone
(402) 475-2694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

914 L St
Lincoln, NE 68508-2228

Mailing address

914 L St
Lincoln, NE 68508-2228
Phone (402) 475-2694

Other identifiers 1

IdentifierTypeStateIssuer
10025221900MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Council on Alcoholism Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

914 L St
Lincoln, NE 68508
Phone (402) 475-2694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629105663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 L ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082228",
            "telephone_number": "402-475-2694",
            "fax_number": "402-475-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 L ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082228",
            "telephone_number": "402-475-2694",
            "fax_number": "402-475-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNCIL ON ALCOHOLISM & DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "GAYLORD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "402-475-2694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025221900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.