Provider Demographics
NPI:1891028270
Name:LA CROSSE USD 395
Entity Type:Organization
Organization Name:LA CROSSE USD 395
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-222-2505
Mailing Address - Street 1:616 MAIN ST.
Mailing Address - Street 2:BOX 778
Mailing Address - City:LA CROSSE
Mailing Address - State:KS
Mailing Address - Zip Code:67548-0778
Mailing Address - Country:US
Mailing Address - Phone:785-222-2505
Mailing Address - Fax:785-222-3240
Practice Address - Street 1:616 MAIN ST.
Practice Address - Street 2:BOX 778
Practice Address - City:LA CROSSE
Practice Address - State:KS
Practice Address - Zip Code:67548-0778
Practice Address - Country:US
Practice Address - Phone:785-222-2505
Practice Address - Fax:785-222-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X
261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health