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NPI Code Detail

MEDICARE: SCHOOL DISTRICT 15 COUNTY OF SHERMAN

MEDICARE: SCHOOL DISTRICT 15 COUNTY OF SHERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1023738911
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHOOL DISTRICT 15 COUNTY OF SHERMAN
Provider Business Mailing Address
First Line : PO BOX 628
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-0628
Country : US
Telephone Number : 308-745-0120
Fax Number :
Provider Business Practice Location Address
First Line : 800 N 8TH ST
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-8020
Country : US
Telephone Number : 308-745-0120
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : DEAN TICKLE
Credential :
Telephone Number : 308-745-0120
Provider Enumeration Date : 08/31/2022
Last Update Date : 08/31/2022

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Directions to “SCHOOL DISTRICT 15 COUNTY OF SHERMAN ” Practice Location

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