Healthcare Provider Details

I. General information

NPI: 1841927522
Provider Name (Legal Business Name): ELMWOOD-MURDOCK PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W F ST
ELMWOOD NE
68349-6074
US

IV. Provider business mailing address

300 WYOMING ST
MURDOCK NE
68407-5032
US

V. Phone/Fax

Practice location:
  • Phone: 402-994-2125
  • Fax:
Mailing address:
  • Phone: 402-867-2341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRANDON COLLINS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 402-867-2341