NPIMap

Organization Active NPI

Saint Francis Alcohol and Drug Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Grand Island, NE
National Provider Identifier
1346389327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
37 Issued in NE
Legal business name
SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER
Practice address
2116 W Faidley Ave
Grand Island, NE 68803-4645
Phone
(308) 398-5427
Fax
(308) 398-5404
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jolene R Stalker, LADC, LMHP
Title
Program Manager
Phone
(308) 398-5427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 37 NE Primary
Substance Abuse Rehabilitation Facility 324500000X 2862LMHP NE

Addresses

Primary practice location

2116 W Faidley Ave
Grand Island, NE 68803-4645

Mailing address

4305 Saddle Horse CT
Grand Island, NE 68803-1011
Phone (308) 381-6647

National Provider Directory

National Provider Directory
Tax ID family
Saint Francis Medical Ctr8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346389327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 SADDLE HORSE CT",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031011",
            "telephone_number": "308-381-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034645",
            "telephone_number": "308-398-5427",
            "fax_number": "308-398-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS ALCOHOL AND DRUG TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALKER",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "308-398-5427",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC, LMHP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "37",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "2862LMHP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.