Provider Demographics
NPI:1497113252
Name:RICK HULS LLC
Entity Type:Organization
Organization Name:RICK HULS LLC
Other - Org Name:RICK HULS LIMHP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HULS
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:308-380-3697
Mailing Address - Street 1:PO BOX 5023
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5023
Mailing Address - Country:US
Mailing Address - Phone:308-380-3697
Mailing Address - Fax:888-505-7909
Practice Address - Street 1:1932 ASPEN CIRCLE
Practice Address - Street 2:SUITE I
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-2474
Practice Address - Country:US
Practice Address - Phone:308-380-3697
Practice Address - Fax:888-505-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE50584810326Medicaid