Provider Demographics
NPI:1164539607
Name:KANSAS COMM. UNIT SCHOOL DIST 3
Entity Type:Organization
Organization Name:KANSAS COMM. UNIT SCHOOL DIST 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-948-5174
Mailing Address - Street 1:FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:KANSAS
Mailing Address - State:IL
Mailing Address - Zip Code:61933
Mailing Address - Country:US
Mailing Address - Phone:217-948-5174
Mailing Address - Fax:217-948-5577
Practice Address - Street 1:FRONT STREET
Practice Address - Street 2:
Practice Address - City:KANSAS
Practice Address - State:IL
Practice Address - Zip Code:61933
Practice Address - Country:US
Practice Address - Phone:217-948-5174
Practice Address - Fax:217-948-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid