Provider Demographics
NPI:1952586331
Name:WEST CENTRAL DISTRICT HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:WEST CENTRAL DISTRICT HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:SHORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-221-6820
Mailing Address - Street 1:1225 S POPLAR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-7793
Mailing Address - Country:US
Mailing Address - Phone:308-696-1201
Mailing Address - Fax:308-696-1204
Practice Address - Street 1:1225 S POPLAR ST STE 100
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7793
Practice Address - Country:US
Practice Address - Phone:308-696-1201
Practice Address - Fax:308-696-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare