State Of Nebraska Dept Of Admin Services
Clinic/Center, Health Services in Tecumseh, NE. Organization (NPI-2).
NPI number1073354635
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1073354635
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Nebraska Dept Of Admin Services
- Organization subpart
- Yes
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Other names
- Ndcs Tecumseh State Correctional Institution (Other Name)
Practice location
2725 Hwy 50Tecumseh, NE 68450
Phone 402-335-5140 · Fax 402-335-5167
Mailing address
2725 Hwy 50Tecumseh, NE 68450
Phone 402-335-5140 · Fax 402-335-5167
Authorized official
Cassandra Jane Putnam
Health Care Administrator
4024795630
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