Provider Demographics
NPI:1639819899
Name:CHEYENNE COUNTY SCHOOL DISTRICT 03
Entity Type:Organization
Organization Name:CHEYENNE COUNTY SCHOOL DISTRICT 03
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-377-2301
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:NE
Mailing Address - Zip Code:69131-0297
Mailing Address - Country:US
Mailing Address - Phone:308-377-2301
Mailing Address - Fax:
Practice Address - Street 1:504 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:NE
Practice Address - Zip Code:69131
Practice Address - Country:US
Practice Address - Phone:308-377-2301
Practice Address - Fax:308-377-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)