Provider Demographics
NPI:1073534202
Name:SOUTHEAST KANSAS EDUCATION SERVICE CENTER
Entity Type:Organization
Organization Name:SOUTHEAST KANSAS EDUCATION SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECTRA COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-654-8701
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-0189
Mailing Address - Country:US
Mailing Address - Phone:888-654-8701
Mailing Address - Fax:620-724-7141
Practice Address - Street 1:947 W 47 HWY
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:KS
Practice Address - Zip Code:66743-2347
Practice Address - Country:US
Practice Address - Phone:888-654-8701
Practice Address - Fax:620-724-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)