Provider Demographics
NPI:1164138392
Name:ISANTI COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:ISANTI COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-857-2741
Mailing Address - Street 1:206 FRAZIER AVE E
Mailing Address - Street 2:
Mailing Address - City:NIOBRARA
Mailing Address - State:NE
Mailing Address - Zip Code:68760-7213
Mailing Address - Country:US
Mailing Address - Phone:402-857-2741
Mailing Address - Fax:
Practice Address - Street 1:206 FRAZIER AVE E
Practice Address - Street 2:
Practice Address - City:NIOBRARA
Practice Address - State:NE
Practice Address - Zip Code:68760-7213
Practice Address - Country:US
Practice Address - Phone:402-857-2741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)