28D2220954 CLIA NUMBER - MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC

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Laboratory Demographics

CLIA Number: 28D2220954

Facility Name: MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC

Facility Address:
914 BAUMANN DRIVE
GRAND ISLAND, NE
ZIP 68801
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Facility Phone Number: 308 385-5250

Facility Type: Other - CRISIS STABILIZTION UNIT

Certificate Type: Waiver

NPI Number: 1316268022

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	28D2220954
LAB Type	Other - CRISIS STABILIZTION UNIT
Facility Name	MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC
Street	914 BAUMANN DRIVE
City	GRAND ISLAND
State	NE
ZIP	68801
Phone	308 385-5250
CertificateType	4
CertificateEffectiveDate	4/16/2023
CertificateExpirationDate	4/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024