Provider Demographics
NPI:1841927522
Name:ELMWOOD-MURDOCK PUBLIC SCHOOLS
Entity type:Organization
Organization Name:ELMWOOD-MURDOCK PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-867-2341
Mailing Address - Street 1:300 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:MURDOCK
Mailing Address - State:NE
Mailing Address - Zip Code:68407-5032
Mailing Address - Country:US
Mailing Address - Phone:402-867-2341
Mailing Address - Fax:
Practice Address - Street 1:400 W F ST
Practice Address - Street 2:
Practice Address - City:ELMWOOD
Practice Address - State:NE
Practice Address - Zip Code:68349-6074
Practice Address - Country:US
Practice Address - Phone:402-994-2125
Practice Address - Fax:
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?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026727300Medicaid