Healthcare Provider Details

I. General information

NPI: 1326345984
Provider Name (Legal Business Name): CENTERPOINTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S 13TH ST
LINCOLN NE
68508-3533
US

IV. Provider business mailing address

2633 P ST
LINCOLN NE
68503-3528
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-5161
  • Fax: 402-475-3300
Mailing address:
  • Phone: 402-475-8717
  • Fax: 402-475-5683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TOPHER HANSEN
Title or Position: EXECUTIVE DIRECTOR
Credential: J.D.
Phone: 402-475-8717