NORTH EAST PANHANDLE SUBSTANCE ABUSE CENTER (NPI# 1558404640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558404640 |
| Entity Type | Organization |
| Organization Name | NORTH EAST PANHANDLE SUBSTANCE ABUSE CENTER |
| Other Organization Name | NEPSAC |
| Practice Address |
305 Foch St Gordon NE 69343-1709 |
| Mailing Address |
305 Foch St Po Box 428 Gordon NE 69343-1709 |
| Practice Telephone | 3082821101 |
| Practice Fax Number | 3082821372 |
| Mailing Telephone | 3082821101 |
| Mailing Fax Number | 3082821372 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MR. VICTOR L. GEHRIG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3082821101 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SATC004 | NE | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| NEPSAC | Other Name - Individual/Organization |
| Street Address |
305 FOCH ST |
| City | GORDON |
| State | NE |
| Zip Code | 69343-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003362146 | Brett Weaver | Counselor | 305 Foch St, Gordon, NE 69343-1709 | 2016-08-29 |
| 1295280766 | Jennifer Ellen Taylor | Counselor | 305 Foch St, Gordon, NE 69343-1709 | 2016-08-24 |
| 1821365693 | Victor Lee Gehrig | Counselor | 305 Foch St, Gordon, NE 69343-1709 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558627729 | Ronald Charles Felton | Counselor | 305 Foch Street, Gordon, NE 69343 | 2012-04-02 |
| 1306855127 | City of Gordon Office of Comptroller | Ambulance | 208 North Elm St., Gordon, NE 69343 | 2006-08-08 |
| 1922252295 | Anpo Wicahpi Charging Thunder | Family Medicine | 807 N. Ash St, Gordon, NE 69343-0000 | 2008-11-12 |
| 1285647214 | Paul C Hessler IIi | Radiology | 309 Maple Ave, Gordon, NE 69343-0174 | 2006-08-14 |
| 1982779039 | Gordon Memorial Hospital | Medicare Defined Swing Bed Unit | 300 East 8th, Gordon, NE 69343-1123 | 2006-11-22 |
| 1952885964 | Erin Sandoz | Occupational Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2018-09-17 |
| 1245684455 | Bryan Felker | Physical Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2016-04-14 |
| 1154581429 | Cassie Marie Banks | Nurse Practitioner | 300 E 8th St, Gordon, NE 69343-1123 | 2008-06-11 |
| 1720276702 | Suzanne Beth Sachs | Physician Assistant | 300 E 8th St, Gordon, NE 69343-1123 | 2007-10-04 |
| 1376740761 | Martin Emerson Lambert | Nurse Anesthetist, Certified Registered | 300 E 8th St, Gordon, NE 69343-1123 | 2007-06-28 |
| Find all providers in zip 69343 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099475 | Great Plains Area Regional Drug Dependency Unit | Substance Abuse Rehabilitation Facility | 113 S Bluff St, Winnebago, NE 68071-9704 | 2020-10-06 |
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1164044822 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 512 Verges Avenue, Norfolk, NE 68701-4050 | 2020-05-15 |
| 1124595004 | Life Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 1516 21st Ave, Scottsbluff, NE 69361-2736 | 2018-10-29 |
| 1083114821 | Omaha Tribe of Nebraska | Substance Abuse Rehabilitation Facility | 575 Indian Hills Drive, Macy, NE 68039-0250 | 2018-02-19 |
| 1245758093 | Better Tomorrows Counseling, LLC | Substance Abuse Rehabilitation Facility | 422 N Hastings Ave Ste 206, Hastings, NE 68901-5109 | 2017-08-31 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
| 1447676176 | Kevin Beckler | Substance Abuse Rehabilitation Facility | 1832 S 15th St, Lincoln, NE 68502-2410 | 2014-03-05 |
| 1265869739 | Kendra K Bevans | Substance Abuse Rehabilitation Facility | 1616 Urbana Ln, Lincoln, NE 68505-1573 | 2013-09-30 |
| 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.