Provider Demographics
NPI:1174823058
Name:FAMILY RESOURCES OF GREATER NEBRASKA, P.C.
Entity Type:Organization
Organization Name:FAMILY RESOURCES OF GREATER NEBRASKA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ZEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-381-7487
Mailing Address - Street 1:PO BOX 5858
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5858
Mailing Address - Country:US
Mailing Address - Phone:308-381-7487
Mailing Address - Fax:308-381-2712
Practice Address - Street 1:314 S. 14TH ST.
Practice Address - Street 2:ORD PROFESSIONAL CENTER
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862
Practice Address - Country:US
Practice Address - Phone:308-381-7487
Practice Address - Fax:308-381-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3806, 1892101Y00000X
NE9099101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098184OtherMEDICARE
NE=========26Medicaid