| Cirrus House Inc. | |
|
1509 1st Ave Scottsbluff NE 69361-3106 | |
| (308) 635-1488 | |
| (308) 635-1271 |
| Full Name | Cirrus House Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1509 1st Ave, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Marcia L Estrada (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3086351488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cirrus House Inc. 1509 1st Ave Scottsbluff NE 69361-3106 Ph: (308) 635-1488 | Cirrus House Inc. 1509 1st Ave Scottsbluff NE 69361-3106 Ph: (308) 635-1488 |
| NPI Number | 1992844237 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890220800 |
|---|---|
| Medicare Enrollment ID | O20241127004221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992844237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marcia Luann Estrada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780733766 PECOS PAC ID: 4183168297 Enrollment ID: I20240701001160 |
| Provider Name | Anthony S Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013408368 PECOS PAC ID: 6901332717 Enrollment ID: I20241203004318 |
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