NPIMap

Organization Active NPI

South Central Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kearney, NE
National Provider Identifier
1689766495
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH CENTRAL BEHAVIORAL SERVICES
Practice address
4111 4TH Avenue
Suite 12
Kearney, NE 68845
Phone
(308) 698-0535
Fax
(308) 698-0536
NPI assigned
Sep 29, 2006
Organization subpart
Yes
Parent organization
SOUTH CENTRAL BEHAVIORAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Deb Vavra
Title
Administrative Coord
Phone
(308) 237-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NE Primary

Addresses

Primary practice location

4111 4TH Avenue
Suite 12
Kearney, NE 68845

Mailing address

3800 Central Avenue
Kearney, NE 68847
Phone (308) 237-5951

Other identifiers 1

IdentifierTypeStateIssuer
10025264300MedicaidNE

National Provider Directory

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

Other organizations with this tax ID 25

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

View all 25

Locations

4111 4th Ave
Ste 12
Kearney, NE 68845
Phone (308) 698-0535

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1689766495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CENTRAL AVENUE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68847",
            "telephone_number": "308-237-5951",
            "fax_number": "308-234-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 4TH AVENUE",
            "address_2": "SUITE 12",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-698-0535",
            "fax_number": "308-698-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL BEHAVIORAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL BEHAVIORAL SERVICES",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "VAVRA",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORD",
        "authorized_official_telephone_number": "308-237-5951"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025264300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.