Provider Demographics
NPI:1487391215
Name:SILVER LAKE PUBLIC SCHOOL
Entity type:Organization
Organization Name:SILVER LAKE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-756-6611
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NE
Mailing Address - Zip Code:68973-0008
Mailing Address - Country:US
Mailing Address - Phone:402-756-6611
Mailing Address - Fax:402-207-6362
Practice Address - Street 1:9405 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NE
Practice Address - Zip Code:68973-1842
Practice Address - Country:US
Practice Address - Phone:402-460-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)