Organization Name: | HEARTLAND FAMILY SERVICE |
NPI Number: | 1245399302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN JEANETTA (PRESIDENT CEO) |
Mailing Address: | 302 American Parkway Papillion |
State: | NE US |
Postal Code: | 68046 |
Phone Number: | 4023392544 |
Fax Number: | 4023394358 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |