NPI 1114085826 · live from the CMS NPI Registry
State Of Nebraska Dept Of Admin Services
Intermediate Care Facility, Intellectual Disabilities in Beatrice, NE. National Provider Identifier 1114085826, active.
NPI record
| NPI | 1114085826 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Intermediate Care Facility, Intellectual Disabilities 315P00000X |
| Practice location | 3000 Lincoln, Beatrice, NE 68310 |
| Practice phone | 402-223-6600 |
| Enumerated | December 5, 2006 |
| Last updated | October 20, 2022 |
| Authorized official | Corina Harrison, Facility Administrator |
| Other names | Beatrice State Developmental Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Ambulatory Surgical | 261QA1903X | — |
| Clinic/Center, Health Services | 261QH0100X | 098247BE (NE) |
| Clinic/Center, Public Health, State or Local | 261QP0905X | — |
| General Acute Care Hospital | 282N00000X | 320003 (NE) |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | ICFMR03 (NE) |
| Intermediate Care Facility, Intellectual Disabilities primary | 315P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.