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848 Morehead St Chadron NE 69337-2547 | |
| (308) 432-2747 | |
| (308) 432-8974 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 848 Morehead St, Chadron, Nebraska |
| Authorized Official Name and Position | Nathan Hough (CEO) |
| Authorized Official Contact | 3084325586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Shelton St Chadron NE 69337-2312 Ph: (308) 432-5586 | 848 Morehead St Chadron NE 69337-2547 Ph: (308) 432-2747 |
| NPI Number | 1134342306 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134342306 | NPI | - | NPPES |
| 10025475900 | Medicaid | NE | |
| 10025476000 | Medicaid | NE | |
| 10025476900 | Medicaid | NE | |
| 10025475800 | Medicaid | NE | |
| 10025476100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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