Provider Demographics
NPI:1063975696
Name:NEBRASKA HEALTH NETWORK
Entity type:Organization
Organization Name:NEBRASKA HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HANDKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:402-552-2299
Mailing Address - Street 1:9140 W DODGE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3317
Mailing Address - Country:US
Mailing Address - Phone:402-552-2299
Mailing Address - Fax:
Practice Address - Street 1:9140 W DODGE RD STE 400
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3317
Practice Address - Country:US
Practice Address - Phone:402-552-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization