Provider Demographics
NPI:1962270967
Name:ALLIANCE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:ALLIANCE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-762-5475
Mailing Address - Street 1:1604 SWEETWATER AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-2672
Mailing Address - Country:US
Mailing Address - Phone:308-762-5475
Mailing Address - Fax:
Practice Address - Street 1:1604 SWEETWATER AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-2672
Practice Address - Country:US
Practice Address - Phone:308-762-5475
Practice Address - Fax:308-762-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE07600126368Medicaid