Healthcare Provider Details

I. General information

NPI: 1649326778
Provider Name (Legal Business Name): NORTHWEST KANSAS EDUCATIONAL SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 W 2ND ST
OAKLEY KS
67748-1258
US

IV. Provider business mailing address

703 W 2ND ST
OAKLEY KS
67748-1258
US

V. Phone/Fax

Practice location:
  • Phone: 785-672-3125
  • Fax: 785-672-3175
Mailing address:
  • Phone: 785-672-3125
  • Fax: 785-672-3175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number261QS1000X
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number251B00000X
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number251B00000X
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number332B0000X
License Number StateKS

VIII. Authorized Official

Name: DANIEL C THORNTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 785-672-3125