OrganizationActive
State of Nebraska Department of Administrative Services
NPI 1285499715 · Prison Health Clinic/Center · Lincoln, NE
Provider details
- NPI number
- 1285499715
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Nebraska Department of Administrative Services
- Organization subpart
- Yes
- Authorized official
- Jeffrey Kasselman, Physician(402) 479-5636
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
801 W Prospector Pl Bldg 1
Lincoln, NE 68522-1970
Phone: (402) 479-5636
Approximate (ZIP-level) locationGet directions
Mailing address
801 W Prospector Pl Bldg 1
Lincoln, NE 68522-1970
Other names (DBA / former)
- Other name
- State of Nebraska Department of Corrections
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.