Organization · Type 2 NPI

State of Nebraska Dept of Admin Services

Health Service Clinic/Center · Mccook, NE

NPI number 1134960792 Active

Practice location

2309 N Hwy 83
Mccook, NE 69001

Fax (308) 345-8407

Specialties and licenses

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

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

Other health service clinic/center providers in Mccook

Wellness Partners, LLCHealth Service Clinic/Center Mccook, NE NPI 1447315825

See all in Mccook →

NPI record

NPI: 1134960792
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 Work Ethic Camp · 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 1134960792

State of Nebraska Dept of Admin Services's National Provider Identifier is 1134960792, issued on Jun 5, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Mccook, NE. The record was last updated on Jun 5, 2024.