NPIMap

Organization Active NPI

Oneworld Community Health Centers, Inc.

Doing business as Spring Lake Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
National Provider Identifier
1942513494
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
HC018 Issued in NE
Legal business name
ONEWORLD COMMUNITY HEALTH CENTERS, INC.
Doing business as
Spring Lake Elementary School Based Clinic
Spring Lake Elementary School Based Health Center
Practice address
4215 S 20TH St
Omaha, NE 68107-2018
Phone
(402) 932-7014
Fax
(402) 932-7041
NPI assigned
Jul 26, 2010
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Andrea M Skolkin
Title
Ceo
Phone
(402) 502-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X HC018 NE Primary

Addresses

Primary practice location

4215 S 20TH St
Omaha, NE 68107-2018

Mailing address

4920 South 30TH Street
Suite 103
Omaha, NE 68107-1656
Phone (402) 932-7014

Other names 2

  • Spring Lake Elementary School Based Clinic Doing business as
  • Spring Lake Elementary School Based Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080624000545 NE Part B Supplier - Clinic/Group Practice 3173435153 Receives reassigned benefits from 114 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Bellevue, NE; Plattsmouth, NE
O20100927000948 NE Part A Provider - Federally Qualified Health Center (FQHC) 3173435153 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942513494. Details of each certification follow.

Federally qualified health center certification: CCN 281816

Legal name
ONEWORLD COMMUNITY HEALTH CENTERS INC
Doing business as
SPRING LAKE ELEMENTARY SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 30, 2010
Last certification
Sep 30, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1973 in NE
Enrollment address
4215 S 20TH St
Omaha, NE 68107-2018

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2009908Oneworld Community Health Centers, Inc/Spring Lake4215 South 20TH Street, Omaha, NE 68107Provider-performed microscopyJul 15, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea M Skolkin Individual Corporate OfficerCeo Aug 2, 2004 100%
Corporate DirectorCeo Aug 2, 2004
W-2 Managing EmployeeCeo Aug 2, 2004 100%
Operational/Managerial ControlChief Executive Officer Aug 2, 2004
Oneworld Community Health Centers Inc Organization, Omaha, NE Non-profit Other Sep 30, 2010
Erik Servellon Individual Corporate DirectorBoard Member - Vice Chair Mar 1, 2023
Madeline Moyer Individual Corporate DirectorBoard Member - Secretary Mar 1, 2023
Christina Kahler Individual Corporate DirectorBoard Member - Treasurer Mar 1, 2023
Thomas M Svolos Individual Corporate DirectorBoard Member - Chair Mar 1, 2023

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indian Hill Elementary School Based Health CenterOmaha, NE, CCN 281815 Federally qualified health center Other Aug 1, 2010
Liberty Elementary School Based ClinicOmaha, NE, CCN 281814 Federally qualified health center Other Sep 30, 2010
Oneworld Community Health Centers, IncOmaha, NE, CCN 281828 Federally qualified health center Other Mar 5, 2013
Oneworld Community Health Centers, Inc.Omaha, NE, CCN 281830 Federally qualified health center Other Apr 12, 2013
Bryan High School Based Health CenterOmaha, NE, CCN 281831 Federally qualified health center Operational/Managerial Control Sep 23, 2013
Oneworld Community Health Centers IncOmaha, NE, CCN 281852 Federally qualified health center Other Aug 19, 2019
Oneworld RalstonOmaha, NE, CCN 281082 Federally qualified health center Other Feb 14, 2023
Oneworld Community Health Centers IncOmaha, NE, CCN 281923 Federally qualified health center Other May 1, 2023
Oneworld Community Health Centers IncOmaha, NE, CCN D01014 Federally qualified health center Other Sep 16, 2024
Oneworld Hillside School Based Health CenterOmaha, NE, CCN D01016 Federally qualified health center Other Jan 22, 2026

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1942513494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 SOUTH 30TH STREET",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-932-7014",
            "fax_number": "402-932-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S 20TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072018",
            "telephone_number": "402-932-7014",
            "fax_number": "402-932-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEWORLD COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "SKOLKIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-502-8842"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NE",
            "license": "HC018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Lake Elementary School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring Lake Elementary School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring Lake Elementary School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.