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DSH280013 THE NEBRASKA MEDICAL CENTER (Active)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013
Medicare Provider Number
280013
Additional Details
Current Program Status
Active
Registration Date
9/8/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/10/2007
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Nebraska Medical Center
Stephanie Daubert, CFO
(402) 552-2889
Primary Contact
The Nebraska Medical Center
Kathy A Yochum, Manager 340B, Contract Pharmacy 340B Program
(402) 559-6320
Addresses
Street Address
989200 Nebraska Medical Center
Omaha, NE 68198
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/10/09 ADDED SHIP TO; 10/8/09 UPDATED ENTITY NAME (WAS UNIVERSITY OF NEBRASKA MEDICAL CENTER); 9/25/09 UPDATED ADDR (WAS 4401 DEWEY AVE); 9/25/09 ADDED SHIP TO 12/16/10ADDED MEDICAID#911858433-02
12/16/2010
May 2025
May 2025
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