Provider Demographics
NPI:1821322264
Name:HAVILAND USD 474
Entity Type:Organization
Organization Name:HAVILAND USD 474
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-862-5256
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:HAVILAND
Mailing Address - State:KS
Mailing Address - Zip Code:67059-0243
Mailing Address - Country:US
Mailing Address - Phone:620-862-5256
Mailing Address - Fax:620-862-5260
Practice Address - Street 1:400 N. TOPEKA
Practice Address - Street 2:
Practice Address - City:HAVILAND
Practice Address - State:KS
Practice Address - Zip Code:67059-0243
Practice Address - Country:US
Practice Address - Phone:620-862-5256
Practice Address - Fax:620-862-5260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)