Provider Demographics
NPI:1477786721
Name:BAXTER SPRINGS USD508
Entity Type:Organization
Organization Name:BAXTER SPRINGS USD508
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-856-2375
Mailing Address - Street 1:1520 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:BAXTER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66713-1840
Mailing Address - Country:US
Mailing Address - Phone:620-856-2375
Mailing Address - Fax:
Practice Address - Street 1:1520 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:BAXTER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66713-1840
Practice Address - Country:US
Practice Address - Phone:620-856-2375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHEAST KANSAS INTERLOCAL
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)