STATE OF NEBRASKA DEPT OF ADMIN SERVICES NPI 1013004787

NPI Information

STATE OF NEBRASKA DEPT OF ADMIN SERVICES is a psychiatric hospital in Norfolk, NE. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF NEBRASKA DEPT OF ADMIN SERVICES NPI is 1013004787. The provider is registered as an organization entity type.
The provider Other Name Is Norfolk Regional Center.

The provider's business location address is:

1700 N VICTORY RD
BOX 1209
NORFOLK, NE
ZIP 68701-859
Phone: (402) 370-3400

The provider's authorized official is William Gibson .
The authorized official title is Chief Executive Officer and has the following contact phone number (402) 370-3400.

The CLIA number assigned to this NPI record is 28D0719485 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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