Provider Demographics
NPI:1568758373
Name:COMMUNITY ACTION PARTNERSHIP OF MID-NEBRASKA
Entity Type:Organization
Organization Name:COMMUNITY ACTION PARTNERSHIP OF MID-NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LUECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-865-5675
Mailing Address - Street 1:PO BOX 2288
Mailing Address - Street 2:16 WEST 11TH ST
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-2288
Mailing Address - Country:US
Mailing Address - Phone:308-865-5675
Mailing Address - Fax:308-865-5681
Practice Address - Street 1:16 W 11TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-7440
Practice Address - Country:US
Practice Address - Phone:308-865-5675
Practice Address - Fax:308-865-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========13Medicaid