340B Drug Pricing Program Database
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DSH280013BS THE NEBRASKA MEDICAL CENTER (Active)
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Main Details
Name
THE NEBRASKA MEDICAL CENTER
Subdivision Name
Nebraska Medicine - Village Pointe - Facial Plastics Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280013BS
Medicare Provider Number
280013
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/1/2023
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
110 North 175th Street
Suite 2700
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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