Provider Demographics
NPI:1639211055
Name:VARGAS INC
Entity Type:Organization
Organization Name:VARGAS INC
Other - Org Name:MIDWEST MOTIVATIONAL CTR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-434-8164
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:SPRAGUE
Mailing Address - State:NE
Mailing Address - Zip Code:68438-0017
Mailing Address - Country:US
Mailing Address - Phone:402-434-8164
Mailing Address - Fax:402-434-8169
Practice Address - Street 1:7111 A STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-434-8164
Practice Address - Fax:402-434-8169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470477462726Medicaid