Healthcare Provider Details

I. General information

NPI: 1457465981
Provider Name (Legal Business Name): CITY OF SCHUYLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 B ST
SCHUYLER NE
68661-1911
US

IV. Provider business mailing address

1103 B ST
SCHUYLER NE
68661-1911
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-3101
  • Fax: 402-352-3114
Mailing address:
  • Phone: 402-352-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1259
License Number StateNE

VIII. Authorized Official

Name: MARY K. PESCHEL
Title or Position: ADMINISTRATOR/CLERK/TREASURER
Credential:
Phone: 402-352-3101