NPIMap

Organization Active NPI

Nebraska Urban Indian Health Coalition

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
National Provider Identifier
1700175221
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
862 Issued in NE
Legal business name
NEBRASKA URBAN INDIAN HEALTH COALITION
Practice address
2240 Landon CT
Omaha, NE 68102-2414
Phone
(402) 346-0902
Fax
(402) 342-5290
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Donna Polk-Primm, PHD, LMHP
Title
Chief Executive Officer
Phone
(402) 346-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 862 NE Primary

Addresses

Primary practice location

2240 Landon CT
Omaha, NE 68102-2414

Mailing address

2240 Landon CT
Omaha, NE 68102-2414
Phone (402) 346-0902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1700175221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 LANDON CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022414",
            "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 CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022414",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA URBAN INDIAN HEALTH COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "POLK-PRIMM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-346-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2011; 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.