Provider Demographics
NPI:1568123164
Name:NORTH BEND CENTRAL JUNIOR-SENIOR HIGH SCHOOL SCHOOL DISTRICT 95
Entity Type:Organization
Organization Name:NORTH BEND CENTRAL JUNIOR-SENIOR HIGH SCHOOL SCHOOL DISTRICT 95
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DATA STEWARD/SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROKAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-652-3268
Mailing Address - Street 1:1320 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:NE
Mailing Address - Zip Code:68649-5016
Mailing Address - Country:US
Mailing Address - Phone:402-652-3268
Mailing Address - Fax:402-652-8348
Practice Address - Street 1:1320 WALNUT ST
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:NE
Practice Address - Zip Code:68649-5016
Practice Address - Country:US
Practice Address - Phone:402-652-3268
Practice Address - Fax:402-652-8348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH BEND CENTRAL ELEMENTARY SCHOOL DISTRICT 95
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)