MEDICARE: USD 470

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)

General Provider Information

NPI Number	:	1649503137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USD 470

Provider Business Mailing Address
First Line	:	2545 GREENWAY RD
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-3890
Country	:	US
Telephone Number	:	620-441-2000
Fax Number	:	620-441-2009

Provider Business Practice Location Address
First Line	:	2545 GREENWAY RD
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-3890
Country	:	US
Telephone Number	:	620-441-2000
Fax Number	:	620-441-2009

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. RON E BALLARD
Credential	:	PH.D.
Telephone Number	:	620-441-2000

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	09/15/2009

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