| Organization Name: | PANHANDLE MENTAL HEALTH CENTER |
| NPI Number: | 1003296005 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA RICHARDS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 4110 Avenue D Scottsbluff |
| State: | NE US |
| Postal Code: | 693614650 |
| Phone Number: | 3086353171 |
| Fax Number: | 3086320137 |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |