1164165718 NPI number — EAST BUTLER PUBLIC SCHOOL DISTRICT

Table of content: MRS. ALEXANDRA ELIZABETH BELTOWSKI LMSW (NPI 1376809756)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164165718 NPI number — EAST BUTLER PUBLIC SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAST BUTLER PUBLIC SCHOOL DISTRICT
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:
1164165718
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 36
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRAINARD
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68626-0036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-545-2081
Provider Business Mailing Address Fax Number:
402-545-2023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 S MADISON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRAINARD
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68626-3515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-545-2081
Provider Business Practice Location Address Fax Number:
402-545-2023
Provider Enumeration Date:
04/20/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ELDRIDGE
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
402-545-2081

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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