Provider Demographics
NPI:1053644096
Name:REPUBLIC COUNTY UNIFIED SCHOOL
Entity Type:Organization
Organization Name:REPUBLIC COUNTY UNIFIED SCHOOL
Other - Org Name:USD #109
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-527-5621
Mailing Address - Street 1:1205 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935-2756
Mailing Address - Country:US
Mailing Address - Phone:785-527-5621
Mailing Address - Fax:785-527-5375
Practice Address - Street 1:1205 19TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935-2756
Practice Address - Country:US
Practice Address - Phone:785-527-5621
Practice Address - Fax:785-527-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No347B00000XTransportation ServicesBus