Provider Demographics
NPI:1790018257
Name:CIRCLE USD 375
Entity Type:Organization
Organization Name:CIRCLE USD 375
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-541-2577
Mailing Address - Street 1:901 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:KS
Mailing Address - Zip Code:67144-0009
Mailing Address - Country:US
Mailing Address - Phone:316-541-2577
Mailing Address - Fax:316-536-2499
Practice Address - Street 1:901 MAIN STREET
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:KS
Practice Address - Zip Code:67144-0009
Practice Address - Country:US
Practice Address - Phone:316-541-2577
Practice Address - Fax:316-536-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty