Healthcare Provider Details

I. General information

NPI: 1417721648
Provider Name (Legal Business Name): TRI COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72520 HIGHWAY 103
DE WITT NE
68341-4502
US

IV. Provider business mailing address

72520 HIGHWAY 103
DE WITT NE
68341-4502
US

V. Phone/Fax

Practice location:
  • Phone: 402-683-2037
  • Fax:
Mailing address:
  • Phone: 402-683-2037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANIE WELTE
Title or Position: SUPERINTENDENT
Credential:
Phone: 402-683-2037