MEDICARE: DARLENE POLK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-358271	CO

General Provider Information

NPI Number	:	1164255071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE POLK

Provider Business Mailing Address
First Line	:	2433 SOTHMAN DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7260
Country	:	US
Telephone Number	:	308-675-0682
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 SOTHMAN DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7260
Country	:	US
Telephone Number	:	308-675-0682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

Similar Medicare Providers

1962334318 — DEQA S YOUSUF
Practice Location Address:

220 N WALNUT ST
GRAND ISLAND, NE
68801-5958

Practice Phone: 308-370-3394
Practice Fax:

1013849280 — ASHTON BOYER DPT
Practice Location Address:

1201 S LOCUST ST STE 10
GRAND ISLAND, NE
68801-8292

Practice Phone: 308-210-8753
Practice Fax: 308-210-8754

1376475418 — AYAN GULED ABDULLAHI
Practice Location Address:

415 S CHERRY ST APT J52
GRAND ISLAND, NE
68801-1906

Practice Phone: 308-380-4760
Practice Fax:

1588669121 — DR. MARK H STINES OD
Practice Location Address:

401 N EDDY ST
GRAND ISLAND, NE
68801-4558

Practice Phone: 308-384-6922
Practice Fax: 308-384-7824

1184629636 — DR. RICHARD K BUNGER OD
Practice Location Address:

401 N EDDY ST
GRAND ISLAND, NE
68801-4558

Practice Phone: 308-384-6922
Practice Fax: 308-384-7824

1629074869 — SUSAN GAIL HAGEMAN D.P.T.
Practice Location Address:

929 S LOCUST ST
GRAND ISLAND, NE
68801-6751

Practice Phone: 308-382-9700
Practice Fax: 308-382-9898

Directions to “ DARLENE POLK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.