Healthcare Provider Details

I. General information

NPI: 1285096677
Provider Name (Legal Business Name): PANHANDLE PUBLIC HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 BOX BUTTE AVE
HEMINGFORD NE
69348-9700
US

IV. Provider business mailing address

808 BOX BUTTE AVE
HEMINGFORD NE
69348-9700
US

V. Phone/Fax

Practice location:
  • Phone: 308-487-3600
  • Fax: 308-487-3682
Mailing address:
  • Phone: 308-487-3600
  • Fax: 308-487-3682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: KIM ENGEL
Title or Position: DIRECTOR
Credential:
Phone: 308-633-2866