Provider Demographics
NPI:1053699264
Name:SOUTH CENTRAL NE USD #5
Entity type:Organization
Organization Name:SOUTH CENTRAL NE USD #5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-726-2151
Mailing Address - Street 1:30671 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NE
Mailing Address - Zip Code:68938-2757
Mailing Address - Country:US
Mailing Address - Phone:402-726-2151
Mailing Address - Fax:402-726-2208
Practice Address - Street 1:30671 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NE
Practice Address - Zip Code:68938-2757
Practice Address - Country:US
Practice Address - Phone:402-726-2151
Practice Address - Fax:402-726-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)