Healthcare Provider Details

I. General information

NPI: 1841003647
Provider Name (Legal Business Name): SUMMERLAND PUBLIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51293 857TH RD
EWING NE
68735-2010
US

IV. Provider business mailing address

51293 857TH RD
EWING NE
68735-2010
US

V. Phone/Fax

Practice location:
  • Phone: 402-626-7534
  • Fax: 402-626-7602
Mailing address:
  • Phone: 402-626-7534
  • Fax: 402-626-7602

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: SALLY A FINCH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 402-626-7534