Healthcare Provider Details

I. General information

NPI: 1093442774
Provider Name (Legal Business Name): FORT CALHOUN COMMUNITY 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

5876 COUNTY ROAD P43
FORT CALHOUN NE
68023-5164
US

IV. Provider business mailing address

PO BOX 430
FORT CALHOUN NE
68023-0430
US

V. Phone/Fax

Practice location:
  • Phone: 402-468-5591
  • Fax:
Mailing address:
  • Phone:
  • 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: DAVID RELIHAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 402-764-0330