1659478923 NPI number — UNIFIED SCHOOL DISTRICT 259

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659478923 NPI number — UNIFIED SCHOOL DISTRICT 259

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIFIED SCHOOL DISTRICT 259
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPECIAL EDUCATION DEPARTMENT
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659478923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 N WATER ST
Provider Second Line Business Mailing Address:
SPECIAL ED DEPT
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67202-1292
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-973-4710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N WATER ST
Provider Second Line Business Practice Location Address:
SPECIAL ED DEPT
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67202-1292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-973-4710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OLSON
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
MEDICAID BILLING TECHNICIAN
Authorized Official Telephone Number:
316-973-4710

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QS1000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100211950A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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