Provider Demographics
NPI:1164578183
Name:GREAT BEND USD 428 BARTON COUNTY SPECIAL SERVICES COOP
Entity Type:Organization
Organization Name:GREAT BEND USD 428 BARTON COUNTY SPECIAL SERVICES COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERDES
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:620-793-1550
Mailing Address - Street 1:150 SW 40 AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-9737
Mailing Address - Country:US
Mailing Address - Phone:620-793-1550
Mailing Address - Fax:620-793-1551
Practice Address - Street 1:150 SW 40 AVE
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-9737
Practice Address - Country:US
Practice Address - Phone:620-793-1550
Practice Address - Fax:620-793-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)