Healthcare Provider Details

I. General information

NPI: 1811623028
Provider Name (Legal Business Name): COUNTY OF LINCOLN SCHOOL DISTRICT 55
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WALNUT ST
SUTHERLAND NE
69165-7257
US

IV. Provider business mailing address

PO BOX 217
SUTHERLAND NE
69165-0217
US

V. Phone/Fax

Practice location:
  • Phone: 308-386-4656
  • Fax: 308-386-2426
Mailing address:
  • Phone: 308-386-4656
  • Fax: 308-386-2426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALISHA J MORGAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 308-386-4656