Broken Bow Public Schools County of Custer School District 25
NPI 1114678182ActiveOrganization· Clinic/Center· Broken Bow, NE
Clinic/Center in Broken Bow, Nebraska, registered in NPPES in January 2022. The authorized official on file is Debra E. Mayor-Gaston, Sped Administrative Assistant.
Overview
| NPI | 1114678182 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2022 |
| Last updated in NPPES | Jan 12, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Broken Bow
- 1730571837