Organization
PANHANDLE HEALTH SERVICES
Active
Parent organization
REGIONAL WEST HEALTH SERVICES
Other names
Regional Neurology Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONAL WEST HEALTH SERVICES
Authorized official
SARA J KISHIYAMA (OFFICE MANAGER)
(308) 630-1947
Entity
Organization
Contact information
Practice address
3911 AVENUE B, SUITE 2300, SCOTTSBLUFF, NE 69361-4617
(308) 630-2030
(308) 630-2060
Mailing address
3911 AVENUE B, SUITE 2300, SCOTTSBLUFF, NE 69361-4617
(308) 630-2030
(308) 630-2060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC9608
RAILROAD MEDICARE
NE
Enumeration date
08/11/2006
Last updated
11/15/2007
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