Provider Demographics
NPI:1750472320
Name:COWLEY CO SPEC SERV #465
Entity Type:Organization
Organization Name:COWLEY CO SPEC SERV #465
Other - Org Name:COWLEY COUNTY SPECIAL SERVICES COOPERATIVE #465
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:SARNACKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:620-221-7021
Mailing Address - Street 1:1321 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-3122
Mailing Address - Country:US
Mailing Address - Phone:620-221-7021
Mailing Address - Fax:620-221-2977
Practice Address - Street 1:1321 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-3122
Practice Address - Country:US
Practice Address - Phone:620-221-7021
Practice Address - Fax:620-221-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)