Ponca Tribe Of Nebraska
Clinic/center
2602 J St, Omaha
Nebraska, 68107-1643
402-733-3612 402-734-7156
Ponca Tribe Of Nebraska is a Clinic/center in Omaha, Nebraska. It is located at 2602 J St, Omaha and it's customer support contact number is 402-733-3612. The authorized person of Ponca Tribe Of Nebraska is Kathleen M Rieb who is Compliance Officer of the pharmacy and his contact number is 402-315-2772. Ponca Tribe Of Nebraska accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ponca Tribe Of Nebraska is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Pharmacy Details:
Ponca Tribe Of Nebraska type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ponca Tribe Of Nebraska |
| Type: | Clinic/center |
| Location: | 2602 J St, Omaha,
Nebraska, 68107-1643 |
| Phone: | 402-733-3612 |
| Fax: | 402-734-7156 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kathleen M Rieb |
| Position: | Compliance Officer |
| Contact Number: | 402-315-2772 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1710172879 |
| NPI Enumeration Date: | 12 Sep, 2007 |
| NPI Last Update On: | 22 Oct, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ponca Tribe Of Nebraska are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | | Primary | |
| Community/behavioral Health | | | Secondary | |
| In Home Supportive Care | | | Secondary | |
| Dental | | | Secondary | |
| Physical Therapy | | | Secondary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
| Case Management | | | Secondary | |
| Home Health | | | Secondary | |
| Nursing Care | | | Secondary | |
| Public Health Or Welfare | | | Secondary | |
Medicare Enrollment:
Ponca Tribe Of Nebraska is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648169177 | O20040312000908 | Ponca Tribe Of Nebraska | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5805 S 86th Cir,
Omaha, Nebraska |
| Zip: | 68127-4145 |
| Phone Number: | 402-315-2760 |
Patients can reach Ponca Tribe Of Nebraska at
2602 J St, Omaha, Nebraska or can
call on customer care at 402-733-3612.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.