MEDICARE: GARDEN CITY USD 457

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	:	1982623807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN CITY USD 457

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	:	1205 FLEMING
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-4751
Country	:	US
Telephone Number	:	620-276-5136
Fax Number	:	620-276-5107

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KAREN JOHNSON
Credential	:
Telephone Number	:	620-276-5136

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/28/2008

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