Provider Demographics
NPI:1760883367
Name:NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOLTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MAT, MCHES
Authorized Official - Phone:402-375-2200
Mailing Address - Street 1:215 PEARL STREET
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787
Mailing Address - Country:US
Mailing Address - Phone:402-375-2200
Mailing Address - Fax:402-375-2201
Practice Address - Street 1:215 PEARL STREET
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787
Practice Address - Country:US
Practice Address - Phone:402-375-2200
Practice Address - Fax:402-375-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare