Provider Demographics
NPI:1639402175
Name:UNIFIED SCHOOL DISTRICT 494
Entity Type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 494
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:
Authorized Official - First Name:B
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:FRIEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-384-7872
Mailing Address - Street 1:PO BOX 1187
Mailing Address - Street 2:103 W AVE F
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878-1187
Mailing Address - Country:US
Mailing Address - Phone:620-384-7872
Mailing Address - Fax:620-384-7692
Practice Address - Street 1:103 W AVENUE F
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878
Practice Address - Country:US
Practice Address - Phone:620-384-7872
Practice Address - Fax:620-384-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)