State of Nebraska Dept of Admin Services

NPI #1063253714 in Lincoln, Nebraska

Provider Information

NPI Number
1063253714
Entity Type
Organization
Organization Name
State of Nebraska Dept of Admin Services
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jun 5, 2024
Last Updated
Jun 5, 2024

Practice Location

Address
3218 W VAN DORN ST
ZIP Code
68522-9278
Phone
(402) 479-6331

Authorized Official

Name
CASSANDRA JANE PUTNAM
Title
HEALTH CARE ADMINISTRATOR
Phone
(402) 479-5630

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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