Provider Demographics
NPI:1538455084
Name:CENTRAL NEBRASKA COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:CENTRAL NEBRASKA COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-745-0780
Mailing Address - Street 1:626 N STREET
Mailing Address - Street 2:POB 509
Mailing Address - City:LOUP CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68853-0509
Mailing Address - Country:US
Mailing Address - Phone:308-745-0780
Mailing Address - Fax:308-745-0824
Practice Address - Street 1:626 N STREET
Practice Address - Street 2:POB 509
Practice Address - City:LOUP CITY
Practice Address - State:NE
Practice Address - Zip Code:68853-0509
Practice Address - Country:US
Practice Address - Phone:308-745-0780
Practice Address - Fax:308-745-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========10Medicaid
NE=========30Medicaid