Provider Demographics
NPI:1225361082
Name:BASEHOR-LINWOOD USD 458
Entity Type:Organization
Organization Name:BASEHOR-LINWOOD USD 458
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-724-1396
Mailing Address - Street 1:2008 N 155TH ST
Mailing Address - Street 2:PO BOX 1
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-9701
Mailing Address - Country:US
Mailing Address - Phone:913-724-1396
Mailing Address - Fax:913-724-2709
Practice Address - Street 1:2008 N 155TH ST
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-9701
Practice Address - Country:US
Practice Address - Phone:913-724-1396
Practice Address - Fax:913-724-2709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health