Provider Demographics
NPI:1174283394
Name:MEAD PUBLIC SCHOOL
Entity Type:Organization
Organization Name:MEAD PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-624-6465
Mailing Address - Street 1:115 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:NE
Mailing Address - Zip Code:68041-3203
Mailing Address - Country:US
Mailing Address - Phone:402-624-6465
Mailing Address - Fax:402-624-2001
Practice Address - Street 1:115 N ELM ST
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:NE
Practice Address - Zip Code:68041-3203
Practice Address - Country:US
Practice Address - Phone:402-624-6465
Practice Address - Fax:402-624-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)