Provider Demographics
NPI:1790914190
Name:SANTA FE TRAIL USD 434
Entity Type:Organization
Organization Name:SANTA FE TRAIL USD 434
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-665-7168
Mailing Address - Street 1:1663 E US HIGHWAY 56
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:KS
Mailing Address - Zip Code:66414-9178
Mailing Address - Country:US
Mailing Address - Phone:785-665-7168
Mailing Address - Fax:
Practice Address - Street 1:1663 E US HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:KS
Practice Address - Zip Code:66414-9178
Practice Address - Country:US
Practice Address - Phone:785-665-7168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE LAKES EDUCATIONAL COOP USD 620
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)