| Bsm, Inc. | |
|
215 N Spruce St Ogallala NE 69153-2552 | |
| (308) 284-9811 | |
| (308) 284-4100 |
| Full Name | Bsm, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 215 N Spruce St, Ogallala, Nebraska |
| Authorized Official Name and Position | Jeannine J Lane (PRESIDENT) |
| Authorized Official Contact | 3082849811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsm, Inc. Po Box 299 Ogallala NE 69153-0299 Ph: (308) 284-9811 | Bsm, Inc. 215 N Spruce St Ogallala NE 69153-2552 Ph: (308) 284-9811 |
| NPI Number | 1154570562 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154570562 | NPI | - | NPPES |
| 100256664-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 426 (Nebraska) | Primary |
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