Provider Demographics
NPI:1528709920
Name:HIGH PLAINS COMMUNITY SCHOOLS
Entity type:Organization
Organization Name:HIGH PLAINS COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-548-2216
Mailing Address - Street 1:260 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:POLK
Mailing Address - State:NE
Mailing Address - Zip Code:68654-4065
Mailing Address - Country:US
Mailing Address - Phone:402-765-2271
Mailing Address - Fax:
Practice Address - Street 1:260 S PINE ST
Practice Address - Street 2:
Practice Address - City:POLK
Practice Address - State:NE
Practice Address - Zip Code:68654-4065
Practice Address - Country:US
Practice Address - Phone:402-765-2271
Practice Address - Fax:402-765-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE72-0075Medicaid