Provider Demographics
NPI:1427719855
Name:EDUCATIONAL SERVICE UNIT #2
Entity type:Organization
Organization Name:EDUCATIONAL SERVICE UNIT #2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STUDENT SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOMBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-721-7710
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68026-0649
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2320 N COLORADO AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2286
Practice Address - Country:US
Practice Address - Phone:402-721-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)