Healthcare Provider Details

I. General information

NPI: 1760402077
Provider Name (Legal Business Name): SPRING HILL USD 230
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E SOUTH ST
SPRING HILL KS
66083
US

IV. Provider business mailing address

PO BOX 189
GIRARD KS
66743-0189
US

V. Phone/Fax

Practice location:
  • Phone: 913-592-7252
  • Fax: 913-592-7270
Mailing address:
  • Phone: 624-724-6281
  • Fax: 620-724-7141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100211990A
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer

VIII. Authorized Official

Name: TOM LAWSON
Title or Position: DIRECTOR
Credential:
Phone: 913-592-7252