Organization
SOUTHWEST AREA TRAINING SERVICE
Active
Organization
SOUTHWEST AREA TRAINING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY BROUSSARD (ADMINISTRATOR)
(308) 345-1530
Entity
Organization
Contact information
Practice address
506 E 12TH ST, MC COOK, NE 69001-3599
(308) 345-1530
Mailing address
PO BOX 582, MC COOK, NE 69001-0582
(308) 345-1530
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75119852
—
NE
Enumeration date
12/13/2021
Last updated
02/27/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up