MEDICARE: CONESTOGA PUBLIC SCHOOLS

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
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043961188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONESTOGA PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	8404 42ND ST
Second Line	:
City	:	MURRAY
State	:	NE
Zip	:	68409-2260
Country	:	US
Telephone Number	:	402-235-2271
Fax Number	:

Provider Business Practice Location Address
First Line	:	8404 42ND ST
Second Line	:
City	:	MURRAY
State	:	NE
Zip	:	68409-2260
Country	:	US
Telephone Number	:	402-235-2271
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF STUDENT SERVICES
Name	:	AMANDA WRIGHT
Credential	:
Telephone Number	:	402-235-2271

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	01/11/2022

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Directions to “CONESTOGA PUBLIC SCHOOLS ” Practice Location

Language	Start Address	Practice Location

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