Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI Number | 1821642562 |
| LBN Legal business name | SCENIC BLUFFS HEALTH CENTER, INC |
| Authorized official | KIM HAWTHORNE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/31/2019 |
| Last updated | 09/13/2024 - More than a year ago |
| Identifiers | n/a |
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