Provider Demographics
NPI:1558135616
Name:MERIDIAN PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:MERIDIAN PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-446-7265
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:DAYKIN
Mailing Address - State:NE
Mailing Address - Zip Code:68338-0190
Mailing Address - Country:US
Mailing Address - Phone:402-446-7265
Mailing Address - Fax:
Practice Address - Street 1:72380 560TH AVE
Practice Address - Street 2:
Practice Address - City:DAYKIN
Practice Address - State:NE
Practice Address - Zip Code:68338-3056
Practice Address - Country:US
Practice Address - Phone:402-446-7265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty