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Organization
HEARTLAND FAMILY SERVICE
Active
Organization
HEARTLAND FAMILY SERVICE
Active
Other names
Family Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JEANETTA MBA, MSW (PRESIDENT CEO)
(402) 552-7402
Entity
Organization
Contact information
Practice address
302 AMERICAN PARKWAY, PAPILLION, NE 68046
(402) 339-2544
(402) 339-4358
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
(402) 553-3133
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086011
MEDICARE, UNSPECIFIED
NE
Enumeration date
12/06/2006
Last updated
09/01/2010
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