Mid-plains Center For Behavioral Healthcare Services, Inc. | |
914 Baumann Dr Grand Island NE 68803-4401 | |
(308) 385-5250 | |
(308) 385-5271 |
Full Name | Mid-plains Center For Behavioral Healthcare Services, Inc. |
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Speciality | Clinic/Center |
Location | 914 Baumann Dr, Grand Island, Nebraska |
Authorized Official Name and Position | Scott A Dugan (PRESIDENT & CEO) |
Authorized Official Contact | 3083951040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-plains Center For Behavioral Healthcare Services, Inc. Po Box 1763 Grand Island NE 68802-1763 Ph: (308) 385-5250 | Mid-plains Center For Behavioral Healthcare Services, Inc. 914 Baumann Dr Grand Island NE 68803-4401 Ph: (308) 385-5250 |
NPI Number | 1558303743 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3375595853 |
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Medicare Enrollment ID | O20050211000893 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558303743 | NPI | - | NPPES |
100253668-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Linda Sue Berry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760474886 PECOS PAC ID: 7911918768 Enrollment ID: I20060509000276 |
Provider Name | Navdeep Sood |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043231830 PECOS PAC ID: 7315903556 Enrollment ID: I20061026000573 |
Provider Name | Kylene M Schroer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033317722 PECOS PAC ID: 3870686421 Enrollment ID: I20070912000618 |
Provider Name | Mark W Harvey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992947287 PECOS PAC ID: 9931258100 Enrollment ID: I20090518000421 |
Provider Name | Lori J Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316278419 PECOS PAC ID: 8729118617 Enrollment ID: I20100621000428 |
Provider Name | Dacia D Oakeson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013271246 PECOS PAC ID: 7517116882 Enrollment ID: I20121001000408 |
Provider Name | Colette Lynn Wheeler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316201866 PECOS PAC ID: 8729223581 Enrollment ID: I20130326000592 |
Provider Name | Suzanne K Gregg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710369103 PECOS PAC ID: 6709190846 Enrollment ID: I20150803000477 |
Provider Name | Amber R Hughes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720503766 PECOS PAC ID: 8022384288 Enrollment ID: I20171017000411 |
Provider Name | Tracey L Hamor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215434683 PECOS PAC ID: 9931457421 Enrollment ID: I20180731001281 |
Provider Name | James M Buettner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710493127 PECOS PAC ID: 4486902921 Enrollment ID: I20180731003088 |
Provider Name | Jessica L Rathje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679191522 PECOS PAC ID: 9638595580 Enrollment ID: I20200821002403 |
Provider Name | Ashley P Tejral |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427628361 PECOS PAC ID: 2466856281 Enrollment ID: I20210802000823 |
Provider Name | Chelsea R Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194489575 PECOS PAC ID: 0840689659 Enrollment ID: I20211117001517 |
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