=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891028908
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIFIED SCHOOL DISTRICT NO 356
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2009
-----------------------------------------------------
Last Update Date | 09/09/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 N MONNETT ST
-----------------------------------------------------
City | CONWAY SPRINGS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67031-8204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-456-2961
-----------------------------------------------------
Fax | 620-456-3173
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 N MONNETT ST
-----------------------------------------------------
City | CONWAY SPRINGS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67031-8204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-456-2961
-----------------------------------------------------
Fax | 620-456-3173
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | WILLIAM CLAY MURPHY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 620-456-2961
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------