County of Custer School District #84

Key facts

NPI

1508558966

Entity type

Organization (NPI type 2)

Primary specialty

Student Health Clinic/Center 261QS1000X

Legal business name

COUNTY OF CUSTER SCHOOL DISTRICT #84

Practice address

400 N 5TH St
Sargent, NE 68874-6104

Phone

(308) 527-4119

NPI assigned

May 24, 2023

Organization subpart

No

Authorized official

Name

Holli A Smith

Title

Book Keeper

Phone

(308) 527-4119

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Slagle, RN School Registered Nurse · Sargent, NE · NPI 1215570379
  NPD

National Provider Directory

Specialties & licenses

Addresses

Other names

• SARGENT PUBLIC SCHOOL Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2023.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1508558966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "SARGENT",
            "state": "NE",
            "postal_code": "688740366",
            "telephone_number": "308-527-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 5TH ST",
            "city": "SARGENT",
            "state": "NE",
            "postal_code": "688746104",
            "telephone_number": "308-527-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CUSTER SCHOOL DISTRICT #84",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOOK KEEPER",
        "authorized_official_telephone_number": "308-527-4119"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARGENT PUBLIC SCHOOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Sargent, NE · Student Health Clinic/Center in Nebraska