MIDWEST COUNTRY CLINIC LLC (NPI# 1417155433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417155433 |
| Entity Type | Organization |
| Organization Name | MIDWEST COUNTRY CLINIC LLC |
| Practice Address |
801 S State St Bassett NE 68714-5062 |
| Mailing Address |
Po Box 129 Burwell NE 68823-0129 |
| Practice Telephone | 8667573853 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | MELISSA DEARMONT (OWNER) |
| Authorized Official Telephone | 8667573853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
257 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC/BS | 85517 | 01 |
| NE | 100264272-00 | 05 |
| Street Address |
801 S STATE ST |
| City | BASSETT |
| State | NE |
| Zip Code | 68714-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286145 | John I Cherry | Family Medicine | 801 S State St, Bassett, NE 68714-5062 | 2005-06-22 |
| 1174181804 | Amber Lynn Schulenberg | Counselor | 801 S State St, Bassett, NE 68714-5062 | 2019-05-29 |
| 1629632468 | Michelle L Sinsel | Pharmacist | 801 S State St, Bassett, NE 68714-5062 | 2019-04-26 |
| 1265942247 | Crystal Gayle Dailey | Nurse Practitioner | 801 S State St, Bassett, NE 68714-5062 | 2017-10-04 |
| 1326392960 | Rock County Hospital | Pharmacy | 801 S State St, Bassett, NE 68714-5062 | 2012-11-05 |
| 1215145917 | Roxanne O'neill | Social Worker | 801 S State St, Bassett, NE 68714-5062 | 2007-05-18 |
| 1265484950 | Shelly Herrington | Nurse Practitioner | 801 S State St, Bassett, NE 68714-5062 | 2006-05-17 |
| 1427054428 | Catherine Sue Sybrant | Nurse Practitioner | 801 S State St, Bassett, NE 68714-5062 | 2005-06-23 |
| 1770589764 | Rock County Hospital | Clinic/Center | 801 S State St, Bassett, NE 68714-5062 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284374 | Lynn D Cooper | Counselor | 407 S Clark, Bassett, NE 68714 | 2020-08-06 |
| 1508816083 | Tara L Swanson | Nurse Practitioner | 101 E South Street, Bassett, NE 68714 | 2006-05-12 |
| 1013118439 | William G Lurz Dds | Dentist | 102 E South St, Bassett, NE 68714-0098 | 2007-05-31 |
| 1295920981 | Greater Sandhills Family Healthcare, PC | Physician Assistant | 101 E South Street, Bassett, NE 68714-0146 | 2007-09-06 |
| 1437705332 | Rock County Hospital | Home Health | 102 E South St, Bassett, NE 68714-5508 | 2019-08-15 |
| 1518304112 | William G Lurz | Dentist | 102 E South St, Bassett, NE 68714-5508 | 2013-05-23 |
| 1376725788 | Shanda Dae Benemerito | Occupational Therapist | 102 E South St, Rch Rehab Department, Bassett, NE 68714-5508 | 2007-11-28 |
| 1437330495 | Alvin Ortega Benemerito | Physical Therapist | 102 E South St, Rch Rehab Department, Bassett, NE 68714-5508 | 2007-11-19 |
| 1720084668 | Rock County Clinic Pharmacy | Pharmacy | 102 E South St, Bassett, NE 68714-5508 | 2005-06-24 |
| 1114922259 | Rock County Hospital | Nursing Facility/Intermediate Care Facility | 100 E South St, Bassett, NE 68714-5511 | 2005-06-16 |
| Find all providers in zip 68714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284374 | Lynn D Cooper | Counselor | 407 S Clark, Bassett, NE 68714 | 2020-08-06 |
| 1174181804 | Amber Lynn Schulenberg | Counselor | 801 S State St, Bassett, NE 68714-5062 | 2019-05-29 |
| 1669874772 | Karen Brodie | Counselor | 324 T B Stanley Hwy Ste B&c, Bassett, VA 24055-6108 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1760080345 | Carli Rhylander | Counselor | 2009 Nottingham Dr, Bellevue, NE 68123-2046 | 2020-10-15 |
| 1346856747 | Opportunities Inc. | Counselor | 12012 Roberts Rd Ste C&d, La Vista, NE 68128-5500 | 2020-09-21 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1073128252 | Hilary J Pederson | Counselor | 2708 W Koenig St, Grand Island, NE 68803-5749 | 2020-09-14 |
| 1902410533 | Anne Tapley, Ph.d., LLC | Counselor | 3801 Union Drive, Ste 206, Lincoln, NE 68516-6652 | 2020-09-01 |
| 1134733769 | Good Life Counseling & Support, LLC | Counselor | 3306 Raasch Avenue, Norfolk, NE 68702-2315 | 2020-09-01 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 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.