Provider Demographics
NPI:1033447495
Name:UNIFIED SCHOOL DISTRICT 428
Entity Type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 428
Other - Org Name:GREAT BEND PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRUNGARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-793-1500
Mailing Address - Street 1:201 PATTON ROAD
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4613
Mailing Address - Country:US
Mailing Address - Phone:620-793-1500
Mailing Address - Fax:620-793-1585
Practice Address - Street 1:201 PATTON ROAD
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4613
Practice Address - Country:US
Practice Address - Phone:620-793-1500
Practice Address - Fax:620-793-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)