Healthcare Provider Details

I. General information

NPI: 1811094196
Provider Name (Legal Business Name): TOPEKA PUBLIC SCHOOLS USD 501
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 SW 24TH ST
TOPEKA KS
66611-1294
US

IV. Provider business mailing address

PO BOX 189
GIRARD KS
66743-0189
US

V. Phone/Fax

Practice location:
  • Phone: 785-235-7600
  • Fax: 785-575-6112
Mailing address:
  • Phone: 620-724-6281
  • Fax: 620-724-7141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateKS

VIII. Authorized Official

Name: DR. ROBERT WITTMAN
Title or Position: DIRECTOR OF SPECIAL EDUCATION K-12
Credential:
Phone: 785-235-7600