4243The Nebraska Medical Center

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

4243THE NEBRASKA MEDICAL CENTER

Practice address

987425 Nebraska Medical Ctr
Omaha, NE 68198-7425

Phone

(402) 559-4442

NPI assigned

Aug 23, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Bolam

Title

MD

Phone

(402) 559-4442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740396373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 FRANCES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987425 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681987425",
            "telephone_number": "402-559-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4243THE NEBRASKA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BOLAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "402-559-4442"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.