NPI 1780969824 · live from the CMS NPI Registry
Omaha Va Hospital
Clinic/Center, Primary Care in Omaha, NE. National Provider Identifier 1780969824, active.
NPI record
| NPI | 1780969824 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Primary Care 261QP2300X |
| Practice location | 4101 Woolworth Ave, Omaha, NE 68105 |
| Practice phone | 402-346-8800 |
| Mailing address | 2706 N 96th Dr, Omaha, NE 68134 |
| Enumerated | October 20, 2011 |
| Last updated | October 20, 2011 |
| Authorized official | Mary Tadros, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | 26112 (NE) |
| Clinic/Center, Primary Care primary | 261QP2300X | 26112 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.