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NPI Code Detail

MEDICARE: SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER

MEDICARE: SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER
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
1324500000XSubstance Abuse Rehabilitation Facility2862LMHPNE
2324500000XSubstance Abuse Rehabilitation Facility37NE

General Provider Information

NPI Number : 1346389327
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER
Provider Business Mailing Address
First Line : 4305 SADDLE HORSE CT
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-1011
Country : US
Telephone Number : 308-381-6647
Fax Number :
Provider Business Practice Location Address
First Line : 2116 W FAIDLEY AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-4645
Country : US
Telephone Number : 308-398-5427
Fax Number : 308-398-5404
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MS. JOLENE R STALKER
Credential : LADC, LMHP
Telephone Number : 308-398-5427
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/22/2020

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Practice Location Address:
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Directions to “SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER ” Practice Location

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