Healthcare Provider Details

I. General information

NPI: 1447990643
Provider Name (Legal Business Name): WEST HOLT PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N MAIN ST
ATKINSON NE
68713-4952
US

IV. Provider business mailing address

PO BOX 457
ATKINSON NE
68713-0457
US

V. Phone/Fax

Practice location:
  • Phone: 402-925-2848
  • Fax:
Mailing address:
  • Phone: 402-925-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNA WELBORN
Title or Position: BOOKKEEPER
Credential:
Phone: 402-925-2848