MEDICARE: UNIFIED SCHOOL DISTRICT #376

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1184958621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED SCHOOL DISTRICT #376

Provider Business Mailing Address
First Line	:	211 S BROADWAY AVE
Second Line	:	PO BOX 188
City	:	STERLING
State	:	KS
Zip	:	67579-2339
Country	:	US
Telephone Number	:	620-278-3621
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 S BROADWAY AVE
Second Line	:
City	:	STERLING
State	:	KS
Zip	:	67579-2339
Country	:	US
Telephone Number	:	620-278-3621
Fax Number	:

Authorized Official
Title or Position	:	CLERK OF THE BOARD
Name	:	MRS. JULIE GELLERMAN
Credential	:
Telephone Number	:	620-278-3621

Provider Enumeration Date	:	10/01/2009
Last Update Date	:	10/01/2009

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