National Provider Identifier Database

PONCA TRIBE OF NEBRASKA
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

PONCA TRIBE OF NEBRASKA
1800 SYRACUSE AVE
NORFOLK, NE68701-2458
Phone: 402-371-8834
Fax: 402-371-7564
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for PONCA TRIBE OF NEBRASKA

NPI Number 1013260561
Legal business name
LBN
PONCA TRIBE OF NEBRASKA
Authorized official DONALD LEE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/22/2012
Last updated 10/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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