Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Active
Other names
Norfolk Regional Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GIBSON (CHIEF EXECUTIVE OFFICER)
(402) 370-3400
Entity
Organization
Contact information
Practice address
1700 N VICTORY RD, BOX 1209, NORFOLK, NE 68701-6859
(402) 370-3400
Mailing address
1700 N VICTORY RD, P.O. BOX 1209, NORFOLK, NE 68701-6859
(402) 370-3400
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
520003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00142
BC/BS OF NEBRASKA
—
Enumeration date
10/06/2006
Last updated
10/12/2010
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