Healthcare Provider Details

I. General information

NPI: 1689907693
Provider Name (Legal Business Name): USD 303 NESS CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

414 E CHESTNUT ST
NESS CITY KS
67560-1610
US

IV. Provider business mailing address

414 E CHESTNUT ST
NESS CITY KS
67560-1610
US

V. Phone/Fax

Practice location:
  • Phone: 785-798-2210
  • Fax: 785-798-3581
Mailing address:
  • Phone: 785-798-2210
  • Fax: 785-798-3581

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: MR. RANDALL K JANSONIUS
Title or Position: SUPERINTENDENT
Credential:
Phone: 785-798-2210