ST. MONICA'S NPI 1629120191

NPI Information

  • NPI: 1629120191
  • Provider Name: ST. MONICA'S
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 28D2183792
  • Address: 120 WEDGEWOOD DR
    LINCOLN, NE
    ZIP 68510
  • Phone: (402) 441-3768

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NPI Details

ST. MONICA'S is a substance abuse rehabilitation facility in Lincoln, NE. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ST. MONICA'S NPI is 1629120191. The provider is registered as an organization entity type.

The provider's business location address is:

120 WEDGEWOOD DR
LINCOLN, NE
ZIP 68510-431
Phone: (402) 441-3768
Fax: (402) 441-3770

The provider's authorized official is Mary Barry-magsamen .
The authorized official title is Executive Director and has the following contact phone number (402) 441-3767.

The CLIA number assigned to this NPI record is 28D2183792 - other - residential tx facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilitySATC024NEBRASKANo
2324500000XSubstance Abuse Rehabilitation FacilitySATC077NEBRASKANo
3324500000XSubstance Abuse Rehabilitation FacilitySATC063NEBRASKANo
4324500000XSubstance Abuse Rehabilitation FacilitySATC102NEBRASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100253488-00MEDICAIDNEBRASKA
2100252179-00MEDICAIDNEBRASKA
3100253821-00MEDICAIDNEBRASKA

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: 11/21/2025

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