NPIMap

Organization Active NPI

South Central Behavioral Services, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Broken Bow, NE
National Provider Identifier
1023288396
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
80873595 Issued in NE
Legal business name
SOUTH CENTRAL BEHAVIORAL SERVICES, INC
Practice address
255 S 10TH Ave
Broken Bow, NE 68822-2018
Phone
(308) 872-2333
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Henrie, MSW
Title
Ceo
Phone
(308) 237-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 80873595 NE Primary

Addresses

Primary practice location

255 S 10TH Ave
Broken Bow, NE 68822-2018

Mailing address

3810 Central Ave
Kearney, NE 68847-8134
Phone (308) 237-5951

National Provider Directory

National Provider Directory
Tax ID family
South Central Services26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

255 S 10th Ave
Broken Bow, NE 68822
Phone (308) 872-2333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023288396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478134",
            "telephone_number": "308-237-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 10TH AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222018",
            "telephone_number": "308-872-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HENRIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-237-5951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NE",
            "license": "80873595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.