Provider Demographics
NPI:1235897760
Name:NORTH PLATTE OPPORTUNITY CORPORATION
Entity Type:Organization
Organization Name:NORTH PLATTE OPPORTUNITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GASTINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-532-3965
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69103-0729
Mailing Address - Country:US
Mailing Address - Phone:308-532-3965
Mailing Address - Fax:308-534-4311
Practice Address - Street 1:501 N BRYAN AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4370
Practice Address - Country:US
Practice Address - Phone:308-532-3965
Practice Address - Fax:308-534-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities