| Fireside Llc | |
|
1011 N 9th St Beatrice NE 68310-2356 | |
| (785) 580-3937 | |
| Not Available |
| Full Name | Fireside Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1011 N 9th St, Beatrice, Nebraska |
| Authorized Official Name and Position | Arynne Horton (PSYCHOLOGIST) |
| Authorized Official Contact | 7855803937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fireside Llc 1011 N 9th St Beatrice NE 68310-2356 Ph: () - | Fireside Llc 1011 N 9th St Beatrice NE 68310-2356 Ph: (785) 580-3937 |
| NPI Number | 1730886037 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730886037 | NPI | - | NPPES |
| 10025287200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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