Provider Demographics
NPI:1902039282
Name:USD 335 NORTH JACKSON
Entity Type:Organization
Organization Name:USD 335 NORTH JACKSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-364-2194
Mailing Address - Street 1:12692 266TH RD
Mailing Address - Street 2:
Mailing Address - City:HOLTON
Mailing Address - State:KS
Mailing Address - Zip Code:66436-8714
Mailing Address - Country:US
Mailing Address - Phone:785-364-2194
Mailing Address - Fax:
Practice Address - Street 1:12692 266TH RD
Practice Address - Street 2:
Practice Address - City:HOLTON
Practice Address - State:KS
Practice Address - Zip Code:66436-8714
Practice Address - Country:US
Practice Address - Phone:785-364-2194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLTON SPECIAL EDUCATION COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)