Healthcare Provider Details

I. General information

NPI: 1629725395
Provider Name (Legal Business Name): COLUMBUS PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2508 27TH ST
COLUMBUS NE
68601-2541
US

IV. Provider business mailing address

PO BOX 947
COLUMBUS NE
68602-0947
US

V. Phone/Fax

Practice location:
  • Phone: 402-563-7000
  • Fax: 402-563-7025
Mailing address:
  • Phone: 402-563-7000
  • Fax: 402-563-7025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON HARRIS
Title or Position: DIRECTOR OF SPED/STUDENT SERVICES
Credential: ED.S.
Phone: 402-563-7000