Provider Demographics
NPI:1952040891
Name:SCHOOL DISTRICT 4 MERRICK COUNTY
Entity Type:Organization
Organization Name:SCHOOL DISTRICT 4 MERRICK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-946-3055
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68826-0057
Mailing Address - Country:US
Mailing Address - Phone:308-946-3055
Mailing Address - Fax:
Practice Address - Street 1:1510 28TH ST
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:NE
Practice Address - Zip Code:68826-9507
Practice Address - Country:US
Practice Address - Phone:308-946-3055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)