Provider Demographics
NPI:1588944730
Name:KEYA PAHA COUNTY SCHOOL
Entity type:Organization
Organization Name:KEYA PAHA COUNTY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-497-3501
Mailing Address - Street 1:101 FOOTBALL AVENUE
Mailing Address - Street 2:BOX 219
Mailing Address - City:SPRINGVIEW
Mailing Address - State:NE
Mailing Address - Zip Code:68778-0219
Mailing Address - Country:US
Mailing Address - Phone:402-497-3501
Mailing Address - Fax:402-497-4321
Practice Address - Street 1:101 FOOTBALL AVENUE
Practice Address - Street 2:
Practice Address - City:SPRINGVIEW
Practice Address - State:NE
Practice Address - Zip Code:68778
Practice Address - Country:US
Practice Address - Phone:402-497-3501
Practice Address - Fax:402-497-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-68Medicare PIN