1194039529 NPI number — UNIVERSITY OF NEBRASKA MEDICAL CENTER

Table of content: (NPI 1194039529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194039529 NPI number — UNIVERSITY OF NEBRASKA MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF NEBRASKA MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194039529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
855 N 82ND PLZ
Provider Second Line Business Mailing Address:
#47
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68114-3591
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-746-9932
Provider Business Mailing Address Fax Number:
402-559-8355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
855 N 82ND PLZ
Provider Second Line Business Practice Location Address:
#47
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68114-3591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-746-9932
Provider Business Practice Location Address Fax Number:
402-559-8355
Provider Enumeration Date:
07/27/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMITTNER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
PATRICK
Authorized Official Title or Position:
FELLOW IN CARDIOLOGY
Authorized Official Telephone Number:
402-559-9252

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  5705 , 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)





Copyright © 2007-2025 www.npivalidator.com