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Contact Information

HEARTLAND FAMILY SERVICE
437 JEFFERSON RD
FREMONT, NE68025
 Phone: 402-721-5099
 Fax: 402-721-5438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for HEARTLAND FAMILY SERVICE

NPI # 1972662047
LBN Legal business name HEARTLAND FAMILY SERVICE
Authorized official JOHN JEANETTA - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 09/01/2010 - About 16 years ago
Identifiers
NE Other 086011 MEDICARE ID - TYPE UNSPEC
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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