BROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25
NPI 1114678182
Clinic/Center in Broken Bow, NE

Q: What is Broken Bow Public Schools County Of Custer School District 25's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 12, 2022

323 N 7TH AVE, BROKEN BOW, NE 68822(308) 872-6821(308) 872-2751 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Broken Bow Public Schools County Of Custer School District 25 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25 (NPI 1114678182) is a healthcare organization registered as a clinic/center in Broken Bow, Nebraska and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Broken Bow and lists Debra E Mayor-gaston, Sped Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1114678182

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25

Location Address323 N 7TH AVEBroken Bow, NE 68822-1718

Mailing Address323 N 7th AveBroken Bow, NE 68822-1718 · (308) 872-6821 · Fax (308) 872-2751

Phone(308) 872-6821

Fax(308) 872-2751

Organization SubpartNo

Authorized OfficialDebra E Mayor-gastonSped Administrative Assistant · (308) 872-6821

Enumeration DateJanuary 12, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1114678182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

323 N 7TH AVE, Broken Bow, NE 68822

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Secondary Practice Location 1

Location 11135 N H StBroken Bow, NE 68822-1262 · Phone (308) 872-2982 ext. 505

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIE ANNE JACOBSON

Nurse's Aide