Provider Demographics
NPI:1891029807
Name:USD 374 SUBLETTE
Entity Type:Organization
Organization Name:USD 374 SUBLETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:C
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-675-2277
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:105 W FERN
Mailing Address - City:SUBLETTE
Mailing Address - State:KS
Mailing Address - Zip Code:67877-0670
Mailing Address - Country:US
Mailing Address - Phone:620-675-2277
Mailing Address - Fax:620-675-2652
Practice Address - Street 1:105 W FERN STREET
Practice Address - Street 2:
Practice Address - City:SUBLETTE
Practice Address - State:KS
Practice Address - Zip Code:67877-0670
Practice Address - Country:US
Practice Address - Phone:620-675-2277
Practice Address - Fax:620-675-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)