Provider Demographics
NPI:1093948234
Name:USD245 LEROY-GRIDLEY
Entity Type:Organization
Organization Name:USD245 LEROY-GRIDLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-964-2212
Mailing Address - Street 1:605 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:KS
Mailing Address - Zip Code:66857-9577
Mailing Address - Country:US
Mailing Address - Phone:620-964-2212
Mailing Address - Fax:
Practice Address - Street 1:605 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:KS
Practice Address - Zip Code:66857-9577
Practice Address - Country:US
Practice Address - Phone:620-964-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COFFEY COUNTY COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)