Provider Demographics
NPI:1952634636
Name:UNIFIED SCHOOL DISTRICT 509
Entity Type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 509
Other - Org Name:SOUTH HAVEN SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:620-892-5215
Mailing Address - Street 1:229 S KICKAPOO ST
Mailing Address - Street 2:PO BOX 229
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:KS
Mailing Address - Zip Code:67140-8819
Mailing Address - Country:US
Mailing Address - Phone:620-892-5215
Mailing Address - Fax:620-892-5814
Practice Address - Street 1:229 S KICKAPOO ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:KS
Practice Address - Zip Code:67140-8819
Practice Address - Country:US
Practice Address - Phone:620-892-5215
Practice Address - Fax:620-892-5814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)