County of Dawson Cozad City Schools District 011
Organization Active NPI Psychologist · Cozad, NE
NPI 1023724754 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1023724754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- COUNTY OF DAWSON COZAD CITY SCHOOLS DISTRICT 011
- Practice address
- 1910 Meridian Ave
Cozad, NE 69130-1159 - Phone
- (308) 784-2745
- NPI assigned
- Jan 26, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. James M Ford, MD
- Title
- Interim Superintendent
- Phone
- (308) 784-2745
Practitioners 1
National Provider Directory
Locations
1910 Meridian Ave
Cozad, NE 69130
Phone (308) 784-2745
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
1910 Meridian Ave
Cozad, NE 69130-1159
Mailing address
1910 Meridian Ave
Cozad, NE 69130-1159
Phone (308) 784-2745
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026731200 | Medicaid | NE |
Other names
- Cozad Community Schools
Other providers in Cozad, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.