Provider Demographics
NPI:1568235083
Name:EDUCATIONAL SERVICE UNIT 15
Entity Type:Organization
Organization Name:EDUCATIONAL SERVICE UNIT 15
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-334-5160
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NE
Mailing Address - Zip Code:69044-0398
Mailing Address - Country:US
Mailing Address - Phone:308-334-5160
Mailing Address - Fax:
Practice Address - Street 1:344 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NE
Practice Address - Zip Code:69044-1701
Practice Address - Country:US
Practice Address - Phone:308-334-5160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)