MEDICARE: SAINT FRANCIS MINISTRIES IN NEBRASKA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851920979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT FRANCIS MINISTRIES IN NEBRASKA, INC.

Provider Business Mailing Address
First Line	:	110 W OTIS AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-8713
Country	:	US
Telephone Number	:	785-825-0541
Fax Number	:	785-628-3113

Provider Business Practice Location Address
First Line	:	3311 N 93RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-4727
Country	:	US
Telephone Number	:	800-423-1342
Fax Number	:	785-628-3113

Authorized Official
Title or Position	:	DIRECTOR OF ACCOUNTING SERVICES
Name	:	JOHN COYKENDALL
Credential	:
Telephone Number	:	785-825-0541

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	07/16/2021

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