Healthcare Provider Details

I. General information

NPI: 1881927754
Provider Name (Legal Business Name): USD 357 BELLE PLAINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 N MAIN ST
BELLE PLAINE KS
67013-9096
US

IV. Provider business mailing address

719 N MAIN ST PO BOX 338
BELLE PLAINE KS
67013-9096
US

V. Phone/Fax

Practice location:
  • Phone: 620-488-2288
  • Fax: 620-488-3517
Mailing address:
  • Phone: 620-488-2288
  • Fax: 620-488-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. LONN POAGE
Title or Position: SUPERINTENDENT
Credential:
Phone: 620-488-2288