Pine Lake Behavioral Health is not a DME supplier for medicare equipments and products.
Pine Lake Behavioral Health is a Clinic/center in Lincoln, Nebraska. This pharmacy is owned and operated by Pine Lake Behavioral Health, Llc.. It is located at 9100 Andermatt Drive Suite 1, Lincoln and it's customer support contact number is 402-434-2730. The authorized person of Pine Lake Behavioral Health is Jared Wade Ray, LIPC, LADC who is Director Of Operations of the pharmacy and his contact number is 402-434-2730. Pine Lake Behavioral Health is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Pharmacy Details:
Pine Lake Behavioral Health type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Pine Lake Behavioral Health
Type:
Clinic/center
Location:
9100 Andermatt Drive Suite 1, Lincoln, Nebraska, 68526-0000
Phone:
402-434-2730
Fax:
402-434-3970
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jared Wade Ray
Credentials:
LIPC, LADC
Position:
Director Of Operations
Contact Number:
402-434-2730
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1003310061
NPI Enumeration Date:
22 Mar, 2018
NPI Last Update On:
24 Feb, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Lake Behavioral Health are as mentioned below.
Specialization
License Number
State
Status
Clinic/center
Nebraska
Primary
Mental Health (Including Community Mental Health Center)
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
10026721200
Medicaid
Nebraska
NA3283
Other
Nebraska
Medicare Ptan
10026721201
Medicaid
Nebraska
DY5949
Other
Nebraska
Rr Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9100 Andermatt Dr Ste 1, Lincoln, Nebraska
Zip:
68526-6700
Phone Number:
402-434-2730
Fax Number:
402-434-3970
Patients can reach Pine Lake Behavioral Health at 9100 Andermatt Drive Suite 1, Lincoln, Nebraska or can call on customer care at 402-434-2730.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Lincoln, Nebraska
Havelock Neighborhood Pharmacy Speciality:Pharmacy Address: 5844 Fremont St, Lincoln, NE Phone: 402-466-5555 Fax: 402-465-8593Bryan Employee Specialty Pharmacy Speciality:Pharmacy Address: 1600 S 48th St, Lincoln, NE Phone: 402-481-8380 Fax: 402-481-8349Shopko Pharmacy 175 Address: 6845 S 27th St, Lincoln, NE Phone: 402-420-1199 Fax: 402-420-2926Cvs Pharmacy # 00473 Address: 1550 South St L, Lincoln, NE Phone: 402-477-0397 Fax: 402-477-0554Shopko Pharmacy 172 Address: 3400 N 27th St, Lincoln, NE Phone: 402-465-5588 Fax: 402-465-0312