PANHANDLE MENTAL HEALTH CENTER (NPI# 1003296005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296005 |
| Entity Type | Organization |
| Organization Name | PANHANDLE MENTAL HEALTH CENTER |
| Practice Address |
4110 Avenue D Scottsbluff NE 69361-4650 |
| Practice Telephone | 3086353171 |
| Practice Fax Number | 3086320137 |
| Mailing Telephone | 3086353171 |
| Mailing Fax Number | 3086320137 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | LAURA RICHARDS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3086353171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417339821 | Panhandle Mental Health Center | Community/Behavioral Health | 414 W 2nd St, Kimball, NE 69145-1247 | 2015-06-22 |
| 1497165831 | Panhandle Mental Health Center | Community/Behavioral Health | 310 Main St Ofc A, Oshkosh, NE 69154-6112 | 2014-05-07 |
| 1316154503 | Panhandle Mental Health Center | Case Management | 18 W 16th St, Scottsbluff, NE 69361-3154 | 2007-05-17 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1326187493 | Panhandle Mental Health Center | Clinic/Center | 941 8th Ave, Sidney, NE 69162-1736 | 2007-02-06 |
| 1508075474 | Panhandle Mental Health Center | Community/Behavioral Health | 3701 Avenue D, Suite 200, Scottsbluff, NE 69361-4771 | 2007-05-21 |
| 1790999258 | Panhandle Mental Health Center | Home Health | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2007-05-10 |
| 1780723858 | Panhandle Mental Health Center | Community/Behavioral Health | 321 Flack Ave, Alliance, NE 69301-3511 | 2007-02-06 |
| 1972642833 | Panhandle Mental Health Center | Clinic/Center | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2007-02-06 |
| Street Address |
4110 AVENUE D |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285742106 | Jan E Johnson | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2006-08-29 |
| 1669916037 | Kathy Vallejo | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2016-12-05 |
| 1255875670 | Amber Ramig | Registered Nurse | 4110 Avenue D, Scottsbluff, NE 69361 | 2016-12-05 |
| 1134672496 | Dustin Eggleston | Social Worker | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2016-08-03 |
| 1205212834 | Janine Mayo | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2015-08-05 |
| 1134546393 | Christine Loper | Social Worker | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2014-03-26 |
| 1114354123 | Lisa K Van Winkle | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2013-10-04 |
| 1720422652 | Cody Adamson | Social Worker | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2013-04-22 |
| 1003250937 | Andrew Flander | Social Worker | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2013-04-22 |
| 1679917769 | Jessica Reffalt-herrera | Social Worker | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2013-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015594 | Whitney A West | Nurse Practitioner | 900 Foxcroft Ct Apt 121, Lincoln, NE 68510-4177 | 2020-08-24 |
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1992353965 | Lisa Marie Bruha | Nurse Practitioner | 46725 809th Rd, Ord, NE 68862-5330 | 2019-09-03 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1578010955 | Jyllyan Christine Halldorson | Nurse Practitioner | 3814 S 186th Ave, Omaha, NE 68130-6029 | 2016-09-02 |
| 1528449741 | Kimberly Waters | Nurse Practitioner | 3733 Holmes Park Rd, Lincoln, NE 68506-4645 | 2015-06-12 |
| 1053700245 | Nadia Ann Mccann | Nurse Practitioner | 2820 E Us Highway 34, Grand Island, NE 68801-9734 | 2015-01-12 |
| 1841357076 | Kelli A L King | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101-6138 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.