Organization
FULLERTON PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRIAN ANDERSON (SUPT)
(308) 550-0225
Entity
Organization
Contact information
Practice address
606 4TH ST, FULLERTON, NE 68638-3176
(308) 536-2431
(308) 536-2432
Mailing address
606 4TH ST # 520, FULLERTON, NE 68638-3176
(308) 536-2431
(308) 536-2432
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026722300
—
NE
Enumeration date
02/01/2023
Last updated
02/01/2023
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