| Ponca Tribe Of Nebraska | |
|
1800 Syracuse Ave Norfolk NE 68701-2458 | |
| (402) 371-8834 | |
| (402) 371-7564 |
| Full Name | Ponca Tribe Of Nebraska |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 Syracuse Ave, Norfolk, Nebraska |
| Authorized Official Name and Position | Donald Lee (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4027345275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponca Tribe Of Nebraska 1800 Syracuse Ave Norfolk NE 68701-2458 Ph: (402) 371-8834 | Ponca Tribe Of Nebraska 1800 Syracuse Ave Norfolk NE 68701-2458 Ph: (402) 371-8834 |
| NPI Number | 1285987735 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285987735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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