# PANHANDLE MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003296005
- **Authorized official:** LAURA RICHARDS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (308) 635-3171

## Contact information

- **Practice address:** 4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
- **Practice address phone:** (308) 635-3171
- **Practice address fax:** (308) 632-0137
- **Mailing address:** 4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
- **Mailing address phone:** (308) 635-3171
- **Mailing address fax:** (308) 632-0137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 02/10/2016