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Contact Information

AMERISERVE INTERNATIONAL OF NEBRASKA, INC.
35 MAIN PL STE 300
COUNCIL BLUFFS, IA51503-0702
 Phone: 712-322-0272
 Fax: 712-322-1411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for AMERISERVE INTERNATIONAL OF NEBRASKA, INC.

NPI Number 1568997179
LBN Legal business name AMERISERVE INTERNATIONAL OF NEBRASKA, INC.
Authorized official STEVEN PEARSON - (DIRECTOR OF FINANCE / TREASURER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/21/2017
Last updated 04/21/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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