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General NPI Number Information
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NPI Number | 1811076904
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Entity Type | Organization
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Legal Business Name | CENTRAL NEBRASKA HOME CARE SERVICES
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2004 N WEBB RD
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City | GRAND ISLAND
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State | NE
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Zip | 68803-1735
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Country | US
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Telephone | 308-384-9333
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Fax | 308-384-3168
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Provider Business Mailing Address
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Address Line | PO BOX 1146
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City | KEARNEY
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State | NE
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Zip | 68848-1146
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Country | US
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Telephone | 308-865-2711
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Fax | 308-865-2936
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Authorized Official
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Title or Position | PRESEDENT - BOARD OF DIRECTORS
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Name | MICHAEL RAY GLOOR
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Credential |
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Telephone | 308-389-5623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 125
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License Number State | NE
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