NPIMap

Organization Active NPI

State of Nebraska Dept of Admin Services

  • Health Service Clinic/Center
  • McCook, NE
National Provider Identifier
1134960792
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Practice address
2309 N Hwy 83
McCook, NE 69001
Phone
(308) 737-2120
Fax
(308) 345-8407
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Cassandra Jane Putnam
Title
Health Care Administrator
Phone
(402) 479-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

2309 N Hwy 83
McCook, NE 69001

Mailing address

2309 N Hwy 83
McCook, NE 69001
Phone (308) 737-2120

Other names 1

  • NDCS Work Ethic Camp Other name

National Provider Directory

National Provider Directory
Tax ID family
State of Nebraska Dept27 organizations share this tax ID, including this one
Part of
State of Nebraska Dept

Other organizations with this tax ID 26

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

View all 26

Locations

2309 N Highway 83
McCook, NE 69001
Phone (308) 737-2120

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1134960792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 N HWY 83",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "69001",
            "telephone_number": "308-737-2120",
            "fax_number": "308-345-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 N HWY 83",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "69001",
            "telephone_number": "308-737-2120",
            "fax_number": "308-345-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "HEALTH CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-479-5630"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDCS Work Ethic Camp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.