OrganizationActive
St Croix Nebraska Sip LLC
NPI 1881284602 · Hospice and Palliative Medicine (Internal Medicine) Physician · Omaha, NE
Provider details
- NPI number
- 1881284602
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Olson, Chief Compliance Officer(651) 237-9716
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Case Management Registered Nurse163WC0400X
Nursing Service Providers
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1065 N 115th St Ste 120
Omaha, NE 68154-4423
Phone: (402) 609-4818
Approximate (ZIP-level) locationGet directions
Mailing address
1065 N 115th St Ste 120
Omaha, NE 68154-4423
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.