Provider Demographics
NPI:1922333277
Name:USD 398 PEABODY-BURNS
Entity Type:Organization
Organization Name:USD 398 PEABODY-BURNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:REX
Authorized Official - Middle Name:A
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-983-2198
Mailing Address - Street 1:506 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:KS
Mailing Address - Zip Code:66866-1216
Mailing Address - Country:US
Mailing Address - Phone:620-983-2198
Mailing Address - Fax:620-983-2247
Practice Address - Street 1:506 N ELM ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:KS
Practice Address - Zip Code:66866-1216
Practice Address - Country:US
Practice Address - Phone:620-983-2198
Practice Address - Fax:620-983-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)