Provider Demographics
NPI:1154459121
Name:SANDHILLS CENTER FOR SERVICES INC
Entity Type:Organization
Organization Name:SANDHILLS CENTER FOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF SANDHILLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMPH LCSW
Authorized Official - Phone:308-728-7099
Mailing Address - Street 1:1712 O ST
Mailing Address - Street 2:PO BOX 113
Mailing Address - City:ORD
Mailing Address - State:NE
Mailing Address - Zip Code:68862-1722
Mailing Address - Country:US
Mailing Address - Phone:308-728-7099
Mailing Address - Fax:308-728-5688
Practice Address - Street 1:1712 O ST
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-1722
Practice Address - Country:US
Practice Address - Phone:308-728-7099
Practice Address - Fax:308-728-5688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1035101YM0800X
NE548101YM0800X
NE8241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========26Medicaid
NE275085Medicare ID - Type Unspecified