Organization · Type 2 NPI

State of Nebraska Department of Administrative Services

Prison Health Clinic/Center · Lincoln, NE

NPI number 1285499715 Active

Practice location

801 W Prospector Pl Bldg 1
Lincoln, NE 68522-1970

Specialties and licenses

Taxonomy	Code	License
Prison Health Clinic/Center Primary	261QP2400X	None listed

Prison Health Clinic/Center: Definition to come...

Another provider at this address

Raymond Lamptey, MDInternal Medicine Physician Lincoln, NE NPI 1992407704

NPI record

NPI: 1285499715
Entity type: Organization (Type 2)
Issued: Feb 14, 2024
Last updated: Feb 14, 2024
Status: Active
Subpart: Yes of State of Nebraska Department of Administrative Services

Other names

State of Nebraska Department of Corrections · other name

Authorized official

Dr. Jeffrey P. Kasselman, MD
Physician
(402) 479-5636

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285499715

State of Nebraska Department of Administrative Services's National Provider Identifier is 1285499715, issued on Feb 14, 2024. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Lincoln, NE. The record was last updated on Feb 14, 2024.