Provider Demographics
NPI:1275678351
Name:R WAY, INC
Entity Type:Organization
Organization Name:R WAY, INC
Other - Org Name:CMHWC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-375-5741
Mailing Address - Street 1:219 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1924
Mailing Address - Country:US
Mailing Address - Phone:402-375-5741
Mailing Address - Fax:402-375-3879
Practice Address - Street 1:219 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1924
Practice Address - Country:US
Practice Address - Phone:402-375-5741
Practice Address - Fax:402-375-3879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025455200Medicaid
NE=========81Medicaid
NE=========82Medicaid
NE=========80Medicaid
NE10025455200Medicaid
NE=========00Medicaid