Broken Bow Public Schools County of Custer School District 25

NPI #1114678182 in Broken Bow, Nebraska

Provider Information

NPI Number: 1114678182
Entity Type: Organization
Organization Name: Broken Bow Public Schools County of Custer School District 25
Primary Specialty: Clinic/Center
Enumeration Date: Jan 12, 2022
Last Updated: Jan 12, 2022

Practice Location

Address: 323 N 7TH AVE
City: Broken Bow
State: Nebraska
ZIP Code: 68822-1718
Phone: (308) 872-6821

Authorized Official

Name: MRS. DEBRA E MAYOR-GASTON
Title: SPED ADMINISTRATIVE ASSISTANT
Phone: (308) 872-6821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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