Healthcare Provider Details

I. General information

NPI: 1134452923
Provider Name (Legal Business Name): USD #252 SOUTHERN LYON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

100 COMMERCIAL ST SUITE A
HARTFORD KS
66854-9419
US

IV. Provider business mailing address

100 COMMERCIAL ST SUITE A
HARTFORD KS
66854-9419
US

V. Phone/Fax

Practice location:
  • Phone: 620-392-5510
  • Fax: 620-392-5841
Mailing address:
  • Phone: 620-392-5510
  • Fax: 620-392-5841

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. MICHAEL D ARGABRIGHT
Title or Position: SUPERINTENDENT
Credential:
Phone: 620-392-5510