| South Platte Public School District 95 | |
|
610 Plum St Big Springs NE 69122-5033 | |
| (308) 889-3674 | |
| Not Available |
| Full Name | South Platte Public School District 95 |
|---|---|
| Speciality | Counselor - School |
| Location | 610 Plum St, Big Springs, Nebraska |
| Authorized Official Name and Position | Lisa Wilson (BUSINESS MANAGER) |
| Authorized Official Contact | 3088893674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Platte Public School District 95 Po Box 457 Big Springs NE 69122-0457 Ph: () - | South Platte Public School District 95 610 Plum St Big Springs NE 69122-5033 Ph: (308) 889-3674 |
| NPI Number | 1215655899 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215655899 | NPI | - | NPPES |
| 10026707700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Primary |