Provider Demographics
NPI:1487383709
Name:CEDAR COUNTY SCHOOL DISTRICT 45
Entity type:Organization
Organization Name:CEDAR COUNTY SCHOOL DISTRICT 45
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-337-0252
Mailing Address - Street 1:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NE
Mailing Address - Zip Code:68771-0755
Mailing Address - Country:US
Mailing Address - Phone:402-337-0252
Mailing Address - Fax:
Practice Address - Street 1:207 N PIERCE ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NE
Practice Address - Zip Code:68771-5514
Practice Address - Country:US
Practice Address - Phone:402-337-0252
Practice Address - Fax:402-337-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health