Healthcare Provider Details

I. General information

NPI: 1144744954
Provider Name (Legal Business Name): EAST CENTRAL DISTRICT HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 EAST 11TH STREET
SCHUYLER NE
68661
US

IV. Provider business mailing address

PO BOX 1028
COLUMBUS NE
68602-1028
US

V. Phone/Fax

Practice location:
  • Phone: 402-563-9224
  • Fax: 402-564-0611
Mailing address:
  • Phone: 402-562-7500
  • Fax: 402-564-0611

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: WILLIAM RODGERS
Title or Position: INTERMIN CEO
Credential:
Phone: 402-562-7500