NPIMap

Organization Active NPI

Mid-Nebraska Individual Services, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Superior, NE
National Provider Identifier
1801604780
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MID-NEBRASKA INDIVIDUAL SERVICES, INC
Practice address
207 N Central Ave
Superior, NE 68978-1736
Phone
(402) 879-3235
NPI assigned
Dec 23, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Diane CampbellNPI 1972254639
Title
Ceo
Phone
(402) 462-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

207 N Central Ave
Superior, NE 68978-1736

Mailing address

216 N Denver Ave
Hastings, NE 68901-5138

Other practice location 1

710 Kiowa Ln
Broken Bow, NE 68822-2733
Phone (308) 872-6415

Other practice location 2

420 Riverview Dr
Ord, NE 68862-2000
Phone (308) 728-3621

Other practice location 3

1400 E 27th St
Kearney, NE 68847-4705
Phone (308) 234-2558

Other practice location 4

625 S Ross Ave
Hastings, NE 68901-6139
Phone (402) 462-5176

Other practice location 5

502 West Derby
Oxford, NE 68967
Phone (308) 824-3283

Other practice location 6

514 13th St
Holdrege, NE 68949-3309
Phone (308) 995-4612

Other practice location 7

2536 Carleton Ave
Grand Island, NE 68803-1221
Phone (308) 385-5775

National Provider Directory

National Provider Directory

Locations

710 Kiowa Ln
Broken Bow, NE 68822
Phone (308) 872-6415

216 N Denver Ave
Hastings, NE 68901
Phone (402) 462-5107

625 S Ross Ave
Hastings, NE 68901
Phone (402) 462-5176

514 13th St
Holdrege, NE 68949
Phone (308) 995-4612

1400 E 27th St
Kearney, NE 68847
Phone (308) 234-2558

420 Riverview Dr
Ord, NE 68862
Phone (308) 728-3621

207 N Central Ave
Superior, NE 68978
Phone (402) 879-3235

Practitioners & affiliated clinicians

Practitioners 151

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1801604780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N DENVER AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N CENTRAL AVE",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781736",
            "telephone_number": "402-879-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Kiowa Ln",
            "address_purpose": "LOCATION",
            "city": "Broken Bow",
            "state": "NE",
            "postal_code": "688222733",
            "country_code": "US",
            "telephone_number": "308-872-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Ord",
            "state": "NE",
            "postal_code": "688622000",
            "country_code": "US",
            "telephone_number": "308-728-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E 27th St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688474705",
            "country_code": "US",
            "telephone_number": "308-234-2558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Ross Ave",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689016139",
            "country_code": "US",
            "telephone_number": "402-462-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 West Derby",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NE",
            "postal_code": "68967",
            "country_code": "US",
            "telephone_number": "308-824-3283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 13th St",
            "address_purpose": "LOCATION",
            "city": "Holdrege",
            "state": "NE",
            "postal_code": "689493309",
            "country_code": "US",
            "telephone_number": "308-995-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2536 Carleton Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688031221",
            "country_code": "US",
            "telephone_number": "308-385-5775",
            "fax_number": "308-385-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-NEBRASKA INDIVIDUAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-462-5107"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.