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Organization

PANHANDLE HEALTH SERVICES

Active
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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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