Provider Demographics
NPI:1639821267
Name:SCOTTSBLUFF COUNTY SCHOOL DISTRICT 11
Entity Type:Organization
Organization Name:SCOTTSBLUFF COUNTY SCHOOL DISTRICT 11
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAGNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-247-3414
Mailing Address - Street 1:508 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:NE
Mailing Address - Zip Code:69358-5013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:508 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:NE
Practice Address - Zip Code:69358-5013
Practice Address - Country:US
Practice Address - Phone:308-247-3414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty