Provider Demographics
NPI:1700367539
Name:BANNER COUNTY SCHOOL
Entity Type:Organization
Organization Name:BANNER COUNTY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:308-436-5262
Mailing Address - Street 1:200 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69345
Mailing Address - Country:US
Mailing Address - Phone:308-436-5262
Mailing Address - Fax:308-436-5252
Practice Address - Street 1:200 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NE
Practice Address - Zip Code:69345
Practice Address - Country:US
Practice Address - Phone:308-436-5262
Practice Address - Fax:308-436-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29854251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
1OtherSCHOOL