Community Action Partnership of Western Nebraska

Primary specialty

DentistTaxonomy code 122300000X

License

HC023 Issued in NE

Legal business name

COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA

Practice address

975 Crescent Dr
Gering, NE 69341-1712

Phone

(308) 632-2540

Fax

(308) 633-2650

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jan Fitts

Title

Executive Director

Phone

(308) 635-3089

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Community Action Partnership of Western Nebraska2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Capwn Reproductive Health Program Delegated Dispensing Permit

  • Clinic Pharmacy
  • Gering, NE
  • NPI 1982488219
  NPD tax ID

Locations

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1982913943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411724",
            "telephone_number": "308-635-3089",
            "fax_number": "308-635-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CRESCENT DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411712",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-635-3089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "HC023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110289300",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025346300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Castillo
• Lois Cecava, RN
• Michelle Leeann Chenoweth
• Ruth Cochrane
• Community Action Partnership of Western Nebraska
• Tiffany A Conklin
• Jamie A Connell, CFY-SLP
• Jacquelyn Marie Cook, APRN, FNP-BC
• Cooper Counseling LLC
• Shelbi Cotton

• Dentist in Gering, NE
• Providers in Gering, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.