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DSH280013K THE NEBRASKA MEDICAL CENTER (Active)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
Nebraska Medical Center Bellevue Cancer Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013K
Medicare Provider Number
280013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/13/2014
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
2510 Bellevue Medical Center Drive
Suite 250
BELLEVUE, NE 68123
Billing Address
Nebraska Medical Center
989200 Nebraska Medical Center
Omaha, NE 68198
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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(reinstatement date - 7/1/2014 – CE reinstated effective 7/1/2014; was participating from 01/01/2005 to 09/30/2013; not participating from 10/1/2013 to 6/30/2014 due to site originally listed as a pharmacy)
06/13/2014
8/30/13 Site listed as a pharmacy, per OPA guidance site was not removed or updated to an approved non-pharmacy clinical site prior to recertification. This site has been terminated JH 10/8/09 UPDATED ENTITY NAME (WAS UNIVERSITY OF NEBRASKA MEDICAL CENTER)
08/30/2013
10/8/09 UPDATED ENTITY NAME (WAS UNIVERSITY OF NEBRASKA MEDICAL CENTER)
09/10/2007
May 2025
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