Healthcare Provider Details

I. General information

NPI: 1013240183
Provider Name (Legal Business Name): USD 396 DOUGLASS PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E 1ST ST
DOUGLASS KS
67039-9315
US

IV. Provider business mailing address

921 E 1ST ST
DOUGLASS KS
67039-9315
US

V. Phone/Fax

Practice location:
  • Phone: 316-747-3300
  • Fax: 316-747-3305
Mailing address:
  • Phone: 316-747-3300
  • Fax: 316-747-3305

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. ROBERT D REYNOLDS
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 316-747-3300