Organization
REGION II HUMAN SERVICES
Active
Other names
Heartland Couseling Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D BROWN EDD (ADMINISTRATOR)
(308) 534-0440
Entity
Organization
Contact information
Practice address
110 N BAILEY, NORTH PLATTE, NE 69103
(308) 534-6029
(308) 534-6961
Mailing address
401 WEST 1ST STREET, OGALLALA, NE 69153
(308) 284-6767
(308) 284-3084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01822
BCBS
NE
01
—
070450
TRICARE
—
01
—
DB6570
RAILROAD MEDICARE
—
Enumeration date
07/31/2006
Last updated
08/22/2020
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