Fallbrook Behavioral Health, Pc

LBN: Fallbrook Behavioral Health, Pc
Fallbrook Behavioral Health, Pc is an health care organization with primary practice located at 755 Fallbrook Blvd Ste 100, Lincoln NE 68521-4637. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. Fallbrook Behavioral Health, Pc can be contacted via phone (402) 875-0632, or through Tiegs, Thomas J via phone (402) 875-0632.

Contact Information

Primary practice address
755 Fallbrook Blvd Ste 100 Lincoln NE 68521-4637
Phone: (402) 875-0632
Fax: (402) 438-2107
Website:
Map and Directions
Authorized official contact:
Name: Tiegs, Thomas J PHD
Phone: (402) 875-0632

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 747 Nebraska

Profile Details

NPI number 1750654166
LBN Legal business name Fallbrook Behavioral Health, Pc
DBA Doing business as
Authorized official Tiegs, Thomas J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Feb 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750654166 NPPES
Nebraska MEDICAID 10025914900

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