GREEN RIBBON MENTAL WELLNESS AND FAMILY HEALTH (NPI# 1245841048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245841048 |
| Entity Type | Organization |
| Organization Name | GREEN RIBBON MENTAL WELLNESS AND FAMILY HEALTH |
| Practice Address |
21903 Woodland Hills Cir Eagle NE 68347-7026 |
| Practice Telephone | 4028409896 |
| Practice Fax Number | 4702750883 |
| Mailing Telephone | 4028409896 |
| Mailing Fax Number | 4702750883 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MRS. TRACEY LYNN HAMOR (OWNER/CEO) |
| Authorized Official Telephone | 4028409896 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tracey Hamor | Doing Business As Name - Organization |
| Street Address |
21903 WOODLAND HILLS CIR |
| City | EAGLE |
| State | NE |
| Zip Code | 68347-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134294481 | Phillip Lee Isaacson | Chiropractor | 524 South 4th Street, Suite # 1, Eagle, NE 68347 | 2006-11-22 |
| 1659431369 | Henry C Furst | Dentist | 632 S 4th St, Eagle, NE 68347-0102 | 2006-12-11 |
| 1265519011 | Eagle Volunteer Fire Department | Ambulance | 701 S. 1st, Eagle, NE 68347-0126 | 2006-11-01 |
| 1831403559 | Village of Eagle | Ambulance | 701 S.1st St, Eagle, NE 68347-0130 | 2010-08-05 |
| 1902073703 | Jamie Marie Moline | Counselor | 1431 Kaila Dr, Eagle, NE 68347-1851 | 2008-05-12 |
| 1790037851 | Stacy L Diekmann | Registered Nurse | 710 Maple Dr, Eagle, NE 68347-2110 | 2012-10-12 |
| 1740369206 | Cheryl A Vanmeveren | Counselor | 225 S 1st St Lot 44, Eagle, NE 68347-5010 | 2006-11-03 |
| 1285133645 | Molly Jo Johnson | Speech-Language Pathologist | 600 S 1st St, Eagle, NE 68347-5083 | 2018-02-12 |
| 1609232800 | Lindsey Wilson | Speech-Language Pathologist | 600 S 1st St, Eagle, NE 68347-5083 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1982211579 | Kaely Thompson | Registered Nurse | 4389 W Agave St, Eagle, ID 83616-5308 | 2020-09-28 |
| 1508472309 | Bruce Kahl | Preventive Medicine | 574 N Park Ln, Eagle, ID 83616-4512 | 2020-09-17 |
| 1407469166 | Mmg LLC | Nurse Practitioner | 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 | 2020-08-24 |
| 1609488303 | Spencer Reid Calhoun | Physical Therapist | 2411 E Riverside Dr Apt P308, Eagle, ID 83616-7573 | 2020-08-24 |
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1831717040 | Anna Richter | Specialist/Technologist | 1946 W Janet Ct, Eagle, ID 83616-3757 | 2020-07-14 |
| 1104441963 | Bluebird Hospice. LLC | Hospice Care, Community Based | 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | 2020-06-08 |
| 1124642293 | Wellspring Behavioral Health, Inc | Counselor | 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6868 | 2020-06-03 |
| 1760003438 | Megan Bauscher | Nurse Practitioner | 3426 S Sugar Loaf Pl, Eagle, ID 83616-6751 | 2020-05-04 |
| Find all providers in EAGLE | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619231784 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S Bridge Way Pl Ste 110, Eagle, ID 83616-6099 | 2012-07-03 |
| 1770847311 | Eagle River Psychiatry and Counseling | Clinic/Center | 1032 S Bridge Way Pl Ste 100, Eagle, ID 83616-6099 | 2012-06-28 |
| 1265703953 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S. Bridgeway Pl, Ste 110, Eagle, ID 83616 | 2012-01-26 |
| 1033774369 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 137 Howard Street, Eagle, CO 81632 | 2019-05-02 |
| 1073811097 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S Bridge Way Pl, Eagle, ID 83616-6099 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275323 | Healing Place Counseling, LLC | Clinic/Center | 3802 Raynor Pkwy Ste 203, Bellevue, NE 68123-2528 | 2020-11-07 |
| 1093337610 | Rubango International, LLC | Clinic/Center | 1905 Harney St Ste 714, Omaha, NE 68102-2314 | 2020-05-18 |
| 1417577990 | Barnes Counseling and Consulting LLC | Clinic/Center | 20170 D St, Omaha, NE 68130-5076 | 2020-04-24 |
| 1710521398 | Michelle Godfrey, LLC | Clinic/Center | 1904 South St Ste 105, Blair, NE 68008-1964 | 2019-11-06 |
| 1124671987 | Midtown Health Center, Inc. | Clinic/Center | 2500 W Norfolk Ave, Norfolk, NE 68701-4427 | 2019-07-22 |
| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| 1932752896 | Midtown Health Center, Inc. | Clinic/Center | 1205 S 2nd St, Norfolk, NE 68701-6323 | 2019-07-19 |
| 1063065928 | Midtown Health Center, Inc. | Clinic/Center | 1101 N 18th St, Norfolk, NE 68701-2523 | 2019-07-19 |
| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
| 1649823501 | Midtown Health Center, Inc. | Clinic/Center | 1703 W Phillip Ave, Norfolk, NE 68701-4737 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.