Provider Demographics
NPI:1376262428
Name:COUNTY OF BUFFALO DISTRICT 119
Entity Type:Organization
Organization Name:COUNTY OF BUFFALO DISTRICT 119
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-826-3131
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NE
Mailing Address - Zip Code:68812-0008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 N SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NE
Practice Address - Zip Code:68812-4515
Practice Address - Country:US
Practice Address - Phone:308-826-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)