Provider Type Icon

DOUGLAS COUNTY NEBRASKA NPI 1023019718


NPI Information

NPI: 1023019718
Provider Name: DOUGLAS COUNTY NEBRASKA

Doing Business As: DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 28D1010490

Address:
4102 WOOLWORTH AVE
OMAHA, NE
ZIP 68105
Phone: (402) 444-7608
Get Directions

DOUGLAS COUNTY NEBRASKA is a psychiatric hospital in Omaha, NE. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. DOUGLAS COUNTY NEBRASKA NPI is 1023019718. The provider is registered as an organization entity type.
The provider Is Doing Business As Douglas County Community Mental Health Center.

The provider's business location address is:

4102 WOOLWORTH AVE
OMAHA, NE
ZIP 68105-899
Phone: (402) 444-7608

The provider's authorized official is Sherry L Glasnapp .
The authorized official title is Director and has the following contact phone number (402) 444-7676.

The CLIA number assigned to this NPI record is 28D1010490 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 12/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric Hospital260006NEBRASKAYes
2324500000XSubstance Abuse Rehabilitation FacilityNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10074OTHERNEBRASKABC/BS PSYCH
210025788600MEDICAIDNEBRASKA
35380038OTHERNEBRASKAUHC PSYCH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.