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DSH280013D THE NEBRASKA MEDICAL CENTER (Active)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
INFUSION CENTER AT VILLAGE POINTE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013D
Medicare Provider Number
280013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/8/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/23/2009
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
111 N 175th Street
Suite 20101
OMAHA, NE 68118
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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10/8/09 UPDATED ENTITY NAME (WAS UNIVERSITY OF NEBRASKA MEDICAL CENTER)12/16/10 ADDED MEDICAID#(911858433-02)
12/16/2010
May 2025
May 2025
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