=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144553355
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIFIED SCHOOL DISTRICT #325
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2009
-----------------------------------------------------
Last Update Date | 09/08/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 240 S 7TH ST
-----------------------------------------------------
City | PHILLIPSBURG
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67661-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-543-5281
-----------------------------------------------------
Fax | 785-543-2271
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 240 S 7TH ST
-----------------------------------------------------
City | PHILLIPSBURG
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67661-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-543-5281
-----------------------------------------------------
Fax | 785-543-2271
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | KENT OTTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 785-543-5281
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------