MEDICARE: BELOIT USD 273, SPECIAL EDUCATION COOPERATIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407877624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELOIT USD 273, SPECIAL EDUCATION COOPERATIVE

Provider Business Mailing Address
First Line	:	PO BOX 189
Second Line	:
City	:	GIRARD
State	:	KS
Zip	:	66743-0189
Country	:	US
Telephone Number	:	620-724-6281
Fax Number	:	620-724-7141

Provider Business Practice Location Address
First Line	:	116 W MAIN ST
Second Line	:
City	:	BELOIT
State	:	KS
Zip	:	67420-2745
Country	:	US
Telephone Number	:	785-738-3261
Fax Number	:	785-738-4103

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. KEITH WILLIAMS
Credential	:
Telephone Number	:	785-738-5275

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	07/23/2008

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