Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Active
Parent organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Other names
Lincoln Regional Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Authorized official
KERRY T WINTERER (CEO)
(402) 471-9433
Entity
Organization
Contact information
Practice address
WEST PROSPECTOR PLACE & FOLSOM STREET, LINCOLN, NE 68509-4949
(402) 479-5419
Mailing address
WEST PROSPECTOR PLACE & FOLSOM STREET, PO BOX 94949, LINCOLN, NE 68509-4949
(402) 479-5419
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
MHC008
NE
283Q00000X
Psychiatric Hospital
Primary
500004
NE
323P00000X
Psychiatric Residential Treatment Facility
MHC005
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
06/07/2006
Last updated
07/09/2010
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