Healthcare Provider Details

I. General information

NPI: 1821323577
Provider Name (Legal Business Name): USD 476 COPELAND SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 THATCHER
COPELAND KS
67837-0156
US

IV. Provider business mailing address

P.O. BOX 156
COPELAND KS
67837-0156
US

V. Phone/Fax

Practice location:
  • Phone: 620-668-5565
  • Fax: 620-668-5568
Mailing address:
  • Phone: 620-668-5565
  • Fax: 620-668-5568

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. JAY RICHARD ZEHR
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 620-668-5565