National Provider Identifier Database

SOUTH CENTRAL BEHAVIORAL SERVICES
Mental Health (Including Community Mental Health Center)


Contact Information

SOUTH CENTRAL BEHAVIORAL SERVICES
701 4TH AVENUE
SUITE 11A
HOLDREGE, NE68949
Phone: 308-237-5951
Fax: 308-234-4018
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL BEHAVIORAL SERVICES

NPI Number 1730271537
Legal business name
LBN
SOUTH CENTRAL BEHAVIORAL SERVICES
Authorized official GARY HENRIE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/29/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NE License #: SATC066
  • NE Medicaid: 10025212900

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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