=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508639238
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CH MH SERVICES (NE)
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2023
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 S 70TH ST STE 330
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68510-2427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 986-206-0414
-----------------------------------------------------
Fax | 406-794-0395
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 169 MADISON AVE STE 15011
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-5101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-361-3146
-----------------------------------------------------
Fax | 406-794-0395
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP, RCM
-----------------------------------------------------
Name | CHARIE BRYANT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 803-955-6655
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------