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DSH280013R THE NEBRASKA MEDICAL CENTER (Terminated)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
Nebraska Medical Center - Village Pointe - VP Multidisciplinary Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013R
Medicare Provider Number
280013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/30/2017
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Nebraska Medical Center
Stephanie Daubert, CFO
(402) 552-2889
Primary Contact
Nebraska Medicine
BILL BARNES, BUSINESS DIRECTOR, PHARMACY
(402) 559-9537
Addresses
Street Address
110 North 175th Street
Suite 2000
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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June 2025
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