PONCA TRIBE OF NEBRASKA is an indian health service tribal urban indian health i t u pharmacy in Norfolk, NE. The provider is 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. PONCA TRIBE OF NEBRASKA NPI is 1013260561. The provider is registered as an organization entity type.
The provider Other Name Is Ponca Hills Health And Wellness Center Pharmacy.
The provider's business location address is:
1800 SYRACUSE AVE
NORFOLK, NE
ZIP 68701-458
Phone: (402) 371-8834
Fax: (402) 371-7564
The provider's authorized official is Donald Lee .
The authorized official title is Chief Executive Officer and has the following contact phone number (402) 734-5275.
The CLIA number assigned to this NPI record is 28D0938836 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/22/2012 and was last updated on 10/22/2012.