Healthcare Provider Details
I. General information
NPI: 1558094946
Provider Name (Legal Business Name): STERLING PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2022
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 MAIN ST
STERLING NE
68443-6009
US
IV. Provider business mailing address
PO BOX 39
STERLING NE
68443-0039
US
V. Phone/Fax
- Phone: 402-866-4761
- Fax:
- Phone: 402-866-4761
- Fax: 402-866-4771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1000X |
| Taxonomy | Student Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIM
L
ALM
Title or Position: BUSINESS MANAGER
Credential:
Phone: 402-866-4761