Provider Demographics
NPI:1871826545
Name:USD 502 LEWIS
Entity Type:Organization
Organization Name:USD 502 LEWIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-324-5547
Mailing Address - Street 1:401 SUNNYSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEWIS
Mailing Address - State:KS
Mailing Address - Zip Code:67552-0097
Mailing Address - Country:US
Mailing Address - Phone:620-324-5547
Mailing Address - Fax:
Practice Address - Street 1:401 SUNNYSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:LEWIS
Practice Address - State:KS
Practice Address - Zip Code:67552-0097
Practice Address - Country:US
Practice Address - Phone:620-324-5547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI COUNTY SPECIAL SERVICES COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)