OrganizationActive
Broken Bow Public Schools County of Custer School District 25
NPI 1114678182 · Clinic/Center · Broken Bow, NE
Provider details
- NPI number
- 1114678182
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Mayor-Gaston, Sped Administrative Assistant(308) 872-6821
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
323 N 7th Ave
Broken Bow, NE 68822-1718
Phone: (308) 872-6821
Fax: (308) 872-2751
Approximate (ZIP-level) locationGet directions
Mailing address
323 N 7th Ave
Broken Bow, NE 68822-1718
Additional practice locations (1)
- 1135 N H StBroken Bow, NE 68822-1262Phone: (308) 872-2982
Registry dates
- Enumerated
- 2022-01-12
- Last updated
- 2022-01-12
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.