1316150329 NPI number — DR. JILL S SWENEY MD

Table of content: DR. JILL S SWENEY MD (NPI 1316150329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316150329 NPI number — DR. JILL S SWENEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWENEY
Provider First Name:
JILL
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCGEE
Provider Other First Name:
JILL
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316150329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CHILDREN'S HOSPITAL
Provider Second Line Business Mailing Address:
8200 DODGE STREET
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68114-4113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-955-5400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL - HOSPITALISTS, CARES
Provider Second Line Business Practice Location Address:
8200 DODGE STREET
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68114-4113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-955-4496
Provider Business Practice Location Address Fax Number:
402-955-3674
Provider Enumeration Date:
05/07/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  23459 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 252381 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30867 . This is a "BCBS" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 470379754-41 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100251131-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0740696 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".