Provider Demographics
NPI:1144971037
Name:SCOTTS BLUFF COUNTY DISTRICT #2
Entity type:Organization
Organization Name:SCOTTS BLUFF COUNTY DISTRICT #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-783-1232
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:MINATARE
Mailing Address - State:NE
Mailing Address - Zip Code:69356-0425
Mailing Address - Country:US
Mailing Address - Phone:308-783-1232
Mailing Address - Fax:
Practice Address - Street 1:1107 E 7TH ST
Practice Address - Street 2:
Practice Address - City:MINATARE
Practice Address - State:NE
Practice Address - Zip Code:69356-3994
Practice Address - Country:US
Practice Address - Phone:308-783-1232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)