Provider Demographics
NPI:1407089774
Name:USD 445 COFFEYVILLE
Entity Type:Organization
Organization Name:USD 445 COFFEYVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-252-6400
Mailing Address - Street 1:615 ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:COFFEYVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67337-3427
Mailing Address - Country:US
Mailing Address - Phone:620-252-6400
Mailing Address - Fax:
Practice Address - Street 1:615 ELLIS ST
Practice Address - Street 2:
Practice Address - City:COFFEYVILLE
Practice Address - State:KS
Practice Address - Zip Code:67337-3427
Practice Address - Country:US
Practice Address - Phone:620-252-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI-COUNTY SPECIAL EDUCATION COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)