# CLARKSON COMMUNITY CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarkson Community Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952828352
- **Authorized official:** HEATHER EAGLE (ADMINISTRATOR)
- **Authorized official phone:** (402) 892-3494

## Contact information

- **Practice address:** 212 SUNRISE DR, CLARKSON, NE 68629-4042
- **Practice address phone:** (402) 892-3494
- **Mailing address:** 212 SUNRISE DR, CLARKSON, NE 68629-4042
- **Mailing address phone:** (402) 892-3494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 174001 | NE | — |
| 235Z00000X | Speech-Language Pathologist | 174001 | NE | — |
| 261QP2000X | Physical Therapy Clinic/Center | 174001 | NE | — |
| 310400000X | Assisted Living Facility | 174001 | NE | — |
| 314000000X | Skilled Nursing Facility | 174001 | NE | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026893500 | — | NE |
| 01 | — | NH0040 | DHHS | NE |