Provider Demographics
NPI:1285096677
Name:PANHANDLE PUBLIC HEALTH DISTRICT
Entity type:Organization
Organization Name:PANHANDLE PUBLIC HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-633-2866
Mailing Address - Street 1:808 BOX BUTTE AVE
Mailing Address - Street 2:
Mailing Address - City:HEMINGFORD
Mailing Address - State:NE
Mailing Address - Zip Code:69348-9700
Mailing Address - Country:US
Mailing Address - Phone:308-487-3600
Mailing Address - Fax:308-487-3682
Practice Address - Street 1:808 BOX BUTTE AVE
Practice Address - Street 2:
Practice Address - City:HEMINGFORD
Practice Address - State:NE
Practice Address - Zip Code:69348-9700
Practice Address - Country:US
Practice Address - Phone:308-487-3600
Practice Address - Fax:308-487-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare