Provider Demographics
NPI:1992433411
Name:OVERTON PUBLIC SCHOOL DISTRICT
Entity type:Organization
Organization Name:OVERTON PUBLIC SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ATEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-987-2424
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:OVERTON
Mailing Address - State:NE
Mailing Address - Zip Code:68863-0310
Mailing Address - Country:US
Mailing Address - Phone:308-987-2424
Mailing Address - Fax:
Practice Address - Street 1:401 7TH ST
Practice Address - Street 2:
Practice Address - City:OVERTON
Practice Address - State:NE
Practice Address - Zip Code:68863-6345
Practice Address - Country:US
Practice Address - Phone:308-987-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE240004Medicaid