Provider Demographics
NPI:1073020327
Name:EDUCATIONAL SERVICE UNIT 16
Entity Type:Organization
Organization Name:EDUCATIONAL SERVICE UNIT 16
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-284-8481
Mailing Address - Street 1:PO BOX 915
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-0915
Mailing Address - Country:US
Mailing Address - Phone:308-284-8481
Mailing Address - Fax:
Practice Address - Street 1:314 W 1ST ST
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-2520
Practice Address - Country:US
Practice Address - Phone:308-284-8481
Practice Address - Fax:308-284-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty