Healthcare Provider Details

I. General information

NPI: 1437802667
Provider Name (Legal Business Name): NORRIS SCHOOL DISTRICT 160
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25211 S 68TH ST
FIRTH NE
68358-7598
US

IV. Provider business mailing address

25211 S 68TH ST
FIRTH NE
68358-7598
US

V. Phone/Fax

Practice location:
  • Phone: 402-791-0000
  • Fax:
Mailing address:
  • Phone: 402-791-0000
  • Fax:

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: DR. BRENDA TRACY
Title or Position: DIRECTOR SPECIAL EDUCATION
Credential:
Phone: 402-791-0000