Provider Demographics
NPI:1568619633
Name:SANDHILLS WELLNESS AND EDUCATION CENTER
Entity Type:Organization
Organization Name:SANDHILLS WELLNESS AND EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-284-6054
Mailing Address - Street 1:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-0784
Mailing Address - Country:US
Mailing Address - Phone:308-284-6054
Mailing Address - Fax:
Practice Address - Street 1:215 N SPRUCE ST
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-2552
Practice Address - Country:US
Practice Address - Phone:308-284-4491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDHILLS DISTRICT HEALTH DEPARTMENT AND CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty