Healthcare Provider Details

I. General information

NPI: 1639400856
Provider Name (Legal Business Name): USD 273
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 NORTH INDEPENDENCE
BELOIT KS
67420-0547
US

IV. Provider business mailing address

P.O. BOX 547
BELOIT KS
67420-0547
US

V. Phone/Fax

Practice location:
  • Phone: 785-738-3261
  • Fax: 785-738-4103
Mailing address:
  • Phone: 785-738-3261
  • Fax: 785-738-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN S. NIEMCZYK
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 785-738-5275