Healthcare Provider Details

I. General information

NPI: 1295487841
Provider Name (Legal Business Name): HEMINGOFRD SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 NIOBRARA AVE
HEMINGFORD NE
69348-3102
US

IV. Provider business mailing address

POB 217 911 NIOBRARA
HEMINGFORD NE
69348
US

V. Phone/Fax

Practice location:
  • Phone: 308-487-3328
  • Fax:
Mailing address:
  • Phone: 308-487-3328
  • 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: MR. CHARLES ISOM
Title or Position: SUPERINTENDENT
Credential:
Phone: 308-487-3328