Full Name | Misty A Gasa |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7155 S 41st Ter, Bellevue, Nebraska |
Authorized Official Name and Position | Misty A Gasa (OWNER/PROVIDER) |
Authorized Official Contact | 4025155281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Misty A Gasa 7155 S 41st Ter Bellevue NE 68147-1056 Ph: (402) 515-5281 | Misty A Gasa 7155 S 41st Ter Bellevue NE 68147-1056 Ph: (402) 515-5281 |
NPI Number | 1568970259 |
---|---|
Provider Enumeration Date | 01/16/2018 |
Last Update Date | 01/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568970259 | NPI | - | NPPES |
10026648100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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