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Contact Information

COLONIAL ACRES OF HUMBOLDT
1043 10TH ST
HUMBOLDT, NE68376-6018
 Phone: 402-862-3123
 Fax: 402-862-2153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COLONIAL ACRES OF HUMBOLDT

NPI # 1285719989
LBN Legal business name COLONIAL ACRES OF HUMBOLDT
Authorized official BRENDA DOUGLAS - (BOARD CHAIRMAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 06/19/2009 - About 17 years ago
Identifiers
NE License # 664003
NE Medicaid 10025268600
NE Other 60099 BLUE CROSS BLUE SHIELD
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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