SOUTH CENTRAL BEHAVIORAL SERVICES (NPI# 1780776583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780776583 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL BEHAVIORAL SERVICES |
| Practice Address |
520 East 10th Street Broadstone Memorial Hospital Superior NE 68978 |
| Mailing Address |
Po Box 1715 Kearney NE 68848-1715 |
| Practice Telephone | 4024635684 |
| Practice Fax Number | 4024635686 |
| Mailing Telephone | 3082375951 |
| Mailing Fax Number | 3082344018 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY W HENRIE (CEO) |
| Authorized Official Telephone | 3082375951 |
| Authorized Official Credential | LMHP MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
NE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801060678 | South Central Behavioral Services | Clinic/Center | 2701 Central Ave, Kearney, NE 68847-4549 | 2008-04-14 |
| 1316033400 | South Central Behavioral Services | Clinic/Center | 1136 Washington, Hastings, NE 68901 | 2006-10-05 |
| 1508952698 | South Central Behavioral Services | Clinic/Center | 616 West 5th Street, Hastings, NE 68901 | 2006-10-05 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1104918903 | South Central Behavioral Services | Clinic/Center | 3810 Central Avenue, Kearney, NE 68847 | 2006-09-29 |
| 1295827095 | South Central Behavioral Services | Clinic/Center | 724 South Burlington, Hastings, NE 68901 | 2006-09-29 |
| 1508289455 | South Central Behavioral Services | Community/Behavioral Health | 724 S Burlington Ave, Hastings, NE 68901-5913 | 2014-01-29 |
| 1740427459 | South Central Behavioral Services | Clinic/Center | 3810 Central Ave, Kearney, NE 68847 | 2009-01-16 |
| 1922259100 | South Central Behavioral Services | Clinic/Center | 4111 4th Ave, Kearney, NE 68845-2878 | 2008-10-06 |
| 1962652958 | South Central Behavioral Services | Clinic/Center | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2008-09-25 |
| Street Address |
520 EAST 10TH STREET BROADSTONE MEMORIAL HOSPITAL |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1578540126 | Robert G Leibel | Family Medicine | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922073121 | Hrc Mental Health Center | Clinic/Center | 39 N 25th St E, Superior, WI 54880-5269 | 2006-02-21 |
| 1649829193 | Clear Harbor Counseling | Clinic/Center | 1531 Hughitt Ave, Superior, WI 54880-2855 | 2019-09-07 |
| 1285859041 | Ridgewood Recovery, Inc. | Clinic/Center | 1507 Tower Ave, Suite 307, Superior, WI 54880-2532 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275323 | Healing Place Counseling, LLC | Clinic/Center | 3802 Raynor Pkwy Ste 203, Bellevue, NE 68123-2528 | 2020-11-07 |
| 1245841048 | Green Ribbon Mental Wellness and Family Health | Clinic/Center | 21903 Woodland Hills Cir, Eagle, NE 68347-7026 | 2020-08-14 |
| 1093337610 | Rubango International, LLC | Clinic/Center | 1905 Harney St Ste 714, Omaha, NE 68102-2314 | 2020-05-18 |
| 1417577990 | Barnes Counseling and Consulting LLC | Clinic/Center | 20170 D St, Omaha, NE 68130-5076 | 2020-04-24 |
| 1710521398 | Michelle Godfrey, LLC | Clinic/Center | 1904 South St Ste 105, Blair, NE 68008-1964 | 2019-11-06 |
| 1124671987 | Midtown Health Center, Inc. | Clinic/Center | 2500 W Norfolk Ave, Norfolk, NE 68701-4427 | 2019-07-22 |
| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| 1932752896 | Midtown Health Center, Inc. | Clinic/Center | 1205 S 2nd St, Norfolk, NE 68701-6323 | 2019-07-19 |
| 1063065928 | Midtown Health Center, Inc. | Clinic/Center | 1101 N 18th St, Norfolk, NE 68701-2523 | 2019-07-19 |
| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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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.