Organization · Type 2 NPI

State of Nebraska Dept of Admin Services

Health Service Clinic/Center · Tecumseh, NE

NPI number 1073354635 Active

Practice location

2725 Hwy 50
Tecumseh, NE 68450

Fax (402) 335-5167

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1073354635
Entity type: Organization (Type 2)
Issued: Jun 5, 2024
Last updated: Jun 5, 2024
Status: Active
Subpart: Yes of State of Nebraska Dept of Admin Services

Other names

NDCS Tecumseh State Correctional Institution · other name

Authorized official

Cassandra Jane Putnam
Health Care Administrator
(402) 479-5630

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073354635

State of Nebraska Dept of Admin Services's National Provider Identifier is 1073354635, issued on Jun 5, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Tecumseh, NE. The record was last updated on Jun 5, 2024.