1891028270 NPI number — LA CROSSE USD 395

Table of content: JAMIE LYNN STEELE APRN (NPI 1366933079)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891028270 NPI number — LA CROSSE USD 395

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LA CROSSE USD 395
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:
Provider Other Organization Name Type Code:
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:
1891028270
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
616 MAIN ST.
Provider Second Line Business Mailing Address:
BOX 778
Provider Business Mailing Address City Name:
LA CROSSE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67548-0778
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-222-2505
Provider Business Mailing Address Fax Number:
785-222-3240

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
616 MAIN ST.
Provider Second Line Business Practice Location Address:
BOX 778
Provider Business Practice Location Address City Name:
LA CROSSE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67548-0778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-222-2505
Provider Business Practice Location Address Fax Number:
785-222-3240
Provider Enumeration Date:
09/16/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KEELEY
Authorized Official First Name:
BILL
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
785-222-2505

Provider Taxonomy Codes

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

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