| Cedar County School District 45 | |
|
207 N Pierce St Randolph NE 68771-5514 | |
| (402) 337-0252 | |
| (402) 337-0235 |
| Full Name | Cedar County School District 45 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 207 N Pierce St, Randolph, Nebraska |
| Authorized Official Name and Position | Tiffany J Kalin (BUSINESS MANAGER) |
| Authorized Official Contact | 4023370252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar County School District 45 Po Box 755 Randolph NE 68771-0755 Ph: (402) 337-0252 | Cedar County School District 45 207 N Pierce St Randolph NE 68771-5514 Ph: (402) 337-0252 |
| NPI Number | 1487383709 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487383709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Randolph Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 E Wayne St, Randolph, NE 68771 Phone: 402-337-0200 Fax: 402-337-1020 |