PONCA HILLS HEALTH & WELLNESS CENTER
NPI 1710172879
Clinic/Center in Omaha, NE

Q: What is Ponca Tribe Of Nebraska's NPI number?

The NPI number for Ponca Tribe Of Nebraska is 1710172879. It was assigned to this organization in the NPPES registry on September 12, 2007. The provider is doing business as Ponca Hills Health & Wellness Center, Fred LeRoy Health & Wellness Center, Ponca Behavioral Health Services and Ponca Clinical Services. Additional names are listed in the Other Names section above.

Q: What is Ponca Tribe Of Nebraska's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 12, 2007

2602 J ST, OMAHA, NE 68107(402) 733-3612(402) 734-7156 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2018, Sep 14, 2018 (2 updates tracked since 2018).

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About Ponca Hills Health & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONCA HILLS HEALTH & WELLNESS CENTER (NPI 1710172879) is a healthcare organization registered as a clinic/center in Omaha, Nebraska and active in the NPI registry since September 2007. The organization maintains 4 additional practice locations and lists Kathleen M Rieb, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1710172879

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePONCA TRIBE OF NEBRASKA

Location Address2602 J STOmaha, NE 68107-1643

Mailing Address5805 S 86th CirOmaha, NE 68127-4145 · (402) 315-2760

Phone(402) 733-3612

Fax(402) 734-7156

Organization SubpartNo

Authorized OfficialKathleen M RiebCompliance Officer · (402) 315-2772

Enumeration DateSeptember 12, 2007

Last NPPES UpdateOctober 22, 20182 updates tracked since enumeration

✔ NPI 1710172879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy 332800000X

2602 J ST, Omaha, NE 68107

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Other Names 8

Doing Business AsPonca Hills Health & Wellness Center

Doing Business AsFred Leroy Health & Wellness Center

Doing Business AsPonca Behavioral Health Services

Doing Business AsPonca Clinical Services

Doing Business AsPonca Dental Services

Doing Business AsPonca Health Services

Doing Business AsPonca Pharmacy Services

Doing Business AsPonca Population Health Services

Secondary Practice Locations 4

Location 11800 Syracuse AveNorfolk, NE 68701-2458 · Phone (402) 371-8780 · Fax (402) 379-4293

Location 2125 6th StSioux City, IA 51103-4405 · Phone (712) 258-0500 · Fax (712) 258-0762

Location 31701 E StLincoln, NE 68508-3429 · Phone (402) 438-9222 · Fax (402) 438-9226

Location 42528 Woodbine StNiobrara, NE 68760-6111 · Phone (402) 857-3391 · Fax (402) 857-3736

Other Identifiers 1

Medicaid=========01NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEILA ANN SHELTON DENTAL ASSISTANT

Dental Assistant

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-1325

RACHAEL M BOGACZ LICSW, LIMHP

Social Worker (Clinical)

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-3612

DR. SANDI S NAHRIRI DNP, APRN, FP-C

Nurse Practitioner (Family)

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-3612

CHRISTIAN PAUL MORATH R.P.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2602 J ST
OMAHA, NE 68107

Douglas County (402) 734-5275

ELAINE CONNELLY PMHP

Counselor (Mental Health)

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-3487

MS. JOANNE KALEILEHUA GILLEY RDH

Dental Hygienist

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-1325

PONCA TRIBE OF NEBRASKA

Clinic/Center (Dental)

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-3612

JAMI R KELLY R.D.H.

Dental Hygienist

2602 J ST
OMAHA, NE 68107

Douglas County (402) 733-1325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponca Tribe Of Nebraska's NPI number?

The NPI number for Ponca Tribe Of Nebraska is 1710172879. It was assigned to this organization in the NPPES registry on September 12, 2007. The provider is doing business as Ponca Hills Health & Wellness Center, Fred LeRoy Health & Wellness Center, Ponca Behavioral Health Services and Ponca Clinical Services. Additional names are listed in the Other Names section above.

Where is Ponca Tribe Of Nebraska located?

Ponca Tribe Of Nebraska is located at 2602 J St, Omaha, NE 68107. The listed phone number is (402) 733-3612.

What is Ponca Tribe Of Nebraska's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Ponca Tribe Of Nebraska accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 2 other insurers list Ponca Tribe Of Nebraska as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ponca Tribe Of Nebraska was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.