=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821323577
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | USD 476 COPELAND SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2009
-----------------------------------------------------
Last Update Date | 10/14/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 THATCHER
-----------------------------------------------------
City | COPELAND
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67837-0156
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-668-5565
-----------------------------------------------------
Fax | 620-668-5568
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 156
-----------------------------------------------------
City | COPELAND
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67837-0156
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-668-5565
-----------------------------------------------------
Fax | 620-668-5568
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT OF SCHOOLS
-----------------------------------------------------
Name | MR. JAY RICHARD ZEHR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 620-668-5565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------