Provider Demographics
NPI:1164904686
Name:HOLDREGE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:HOLDREGE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:SONESON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:308-995-4339
Mailing Address - Street 1:PO BOX 2002
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-2002
Mailing Address - Country:US
Mailing Address - Phone:308-995-4339
Mailing Address - Fax:308-995-4558
Practice Address - Street 1:1700 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-1204
Practice Address - Country:US
Practice Address - Phone:308-995-4339
Practice Address - Fax:308-995-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65905251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care