Ponca Tribe of Nebraska
NPI 1710172879 · Clinic/Center · Omaha, NE
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1710172879
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Rieb, Compliance Officer(402) 315-2772
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Suppliers
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fred Leroy Health & Wellness Center
- Doing business as
- Ponca Behavioral Health Services
- Doing business as
- Ponca Clinical Services
- Doing business as
- Ponca Dental Services
- Doing business as
- Ponca Health Services
- Doing business as
- Ponca Hills Health & Wellness Center
- Doing business as
- Ponca Pharmacy Services
- Doing business as
- Ponca Population Health Services
Additional practice locations (4)
- 125 6th StSioux City, IA 51103-4405Phone: (712) 258-0500Fax: (712) 258-0762
- 1701 E StLincoln, NE 68508-3429Phone: (402) 438-9222Fax: (402) 438-9226
- 2528 Woodbine StNiobrara, NE 68760-6111Phone: (402) 857-3391Fax: (402) 857-3736
- 1800 Syracuse AveNorfolk, NE 68701-2458Phone: (402) 371-8780Fax: (402) 379-4293
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2018-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.