Healthcare Provider Details

I. General information

NPI: 1881344638
Provider Name (Legal Business Name): RALSTON PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8545 PARK DR
RALSTON NE
68127-3621
US

IV. Provider business mailing address

8545 PARK DR
RALSTON NE
68127-3621
US

V. Phone/Fax

Practice location:
  • Phone: 402-331-4700
  • Fax:
Mailing address:
  • Phone: 402-331-4700
  • 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: SANDY HARRAL
Title or Position: STUDENT SERVICES ADMIN ASST.
Credential:
Phone: 402-331-4700