340B Drug Pricing Program Database
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DSH280013Z THE NEBRASKA MEDICAL CENTER (Active)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
Nebraska Medical Center - Clinic - Eagle Run Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013Z
Medicare Provider Number
280013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/30/2017
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
3685 N. 129th Street
Omaha, NE 68164
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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May 2025
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