Healthcare Provider Details

I. General information

NPI: 1952051328
Provider Name (Legal Business Name): ALLEN PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 E 5TH ST
ALLEN NE
68710-5141
US

IV. Provider business mailing address

PO BOX 190
ALLEN NE
68710-0190
US

V. Phone/Fax

Practice location:
  • Phone: 402-635-2484
  • Fax: 402-635-2331
Mailing address:
  • Phone: 402-635-2484
  • Fax: 402-635-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PATTEE
Title or Position: SUPERINTENDENT
Credential:
Phone: 402-635-2484