1164165544 NPI number — COUNTY OF NUCKOLLS SCHOOL DISTRICT NO. 11

Table of content: SHELLEY HARDIN SALINAS DPT (NPI 1205362555)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164165544 NPI number — COUNTY OF NUCKOLLS SCHOOL DISTRICT NO. 11

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF NUCKOLLS SCHOOL DISTRICT NO. 11
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:
1164165544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 288
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUPERIOR
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68978-0288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-879-3257
Provider Business Mailing Address Fax Number:
855-529-4534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 W 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUPERIOR
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68978-1457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-879-3257
Provider Business Practice Location Address Fax Number:
855-529-4534
Provider Enumeration Date:
04/14/2022

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
B
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
402-879-3257

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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