Provider Demographics
NPI:1730888975
Name:COUNTY OF SALINE DISTRICT #82
Entity type:Organization
Organization Name:COUNTY OF SALINE DISTRICT #82
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:OURECKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-821-2266
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:WILBER
Mailing Address - State:NE
Mailing Address - Zip Code:68465-0487
Mailing Address - Country:US
Mailing Address - Phone:402-821-2266
Mailing Address - Fax:402-821-3013
Practice Address - Street 1:900 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WILBER
Practice Address - State:NE
Practice Address - Zip Code:68465-4000
Practice Address - Country:US
Practice Address - Phone:402-821-2266
Practice Address - Fax:402-821-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026733200Medicaid