Healthcare Provider Details

I. General information

NPI: 1659606382
Provider Name (Legal Business Name): USD 371 MONTEZUMA 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

103 W SUNNYSIDE
MONTEZUMA KS
67867-0355
US

IV. Provider business mailing address

PO BOX 355
MONTEZUMA KS
67867-0355
US

V. Phone/Fax

Practice location:
  • Phone: 620-846-2293
  • Fax: 620-846-2294
Mailing address:
  • Phone: 620-846-2293
  • Fax: 620-846-2294

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: 620-846-2293