1164796504 NPI number — GIBBON PUBLIC SCHOOLS

Table of content: MRS. KELLY ANN POIRIER A.N.P. (NPI 1265618789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164796504 NPI number — GIBBON PUBLIC SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GIBBON PUBLIC SCHOOLS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164796504
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 790
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GIBBON
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68840-0790
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-468-6546
Provider Business Mailing Address Fax Number:
308-468-5701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1030 COURT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIBBON
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68840-4064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-468-6546
Provider Business Practice Location Address Fax Number:
308-468-9139
Provider Enumeration Date:
03/02/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WITT
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
308-468-6546

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  12011794 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com