Provider Demographics
NPI:1245967876
Name:COUNTY OF DAWSON
Entity type:Organization
Organization Name:COUNTY OF DAWSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-752-2207
Mailing Address - Street 1:205 E 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:NE
Mailing Address - Zip Code:68878-7256
Mailing Address - Country:US
Mailing Address - Phone:308-752-2207
Mailing Address - Fax:308-752-2600
Practice Address - Street 1:205 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:NE
Practice Address - Zip Code:68878-7256
Practice Address - Country:US
Practice Address - Phone:308-752-2207
Practice Address - Fax:308-752-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare