Provider Demographics
NPI:1083488365
Name:SOUTHERN PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:SOUTHERN PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-645-3326
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:WYMORE
Mailing Address - State:NE
Mailing Address - Zip Code:68466-0237
Mailing Address - Country:US
Mailing Address - Phone:402-645-3326
Mailing Address - Fax:
Practice Address - Street 1:115 S 11TH ST
Practice Address - Street 2:
Practice Address - City:WYMORE
Practice Address - State:NE
Practice Address - Zip Code:68466-1615
Practice Address - Country:US
Practice Address - Phone:402-645-3326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty