Healthcare Provider Details

I. General information

NPI: 1013923382
Provider Name (Legal Business Name): REGION II HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N BAILEY
NORTH PLATTE NE
69103
US

IV. Provider business mailing address

401 WEST 1ST STREET
OGALLALA NE
69153
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-6029
  • Fax: 308-534-6961
Mailing address:
  • Phone: 308-284-6767
  • Fax: 308-284-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LARRY D BROWN
Title or Position: ADMINISTRATOR
Credential: EDD
Phone: 308-534-0440