Provider Demographics
NPI:1992038376
Name:UNIFIED SCHOOL DISTRICT 106 WESTERN PLAINS
Entity Type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 106 WESTERN PLAINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LACOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-731-2352
Mailing Address - Street 1:311 W OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:RANSOM
Mailing Address - State:KS
Mailing Address - Zip Code:67572-9609
Mailing Address - Country:US
Mailing Address - Phone:785-731-2434
Mailing Address - Fax:785-731-2624
Practice Address - Street 1:311 W OGDEN ST
Practice Address - Street 2:
Practice Address - City:RANSOM
Practice Address - State:KS
Practice Address - Zip Code:67572-9609
Practice Address - Country:US
Practice Address - Phone:785-731-2434
Practice Address - Fax:785-731-2624
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 Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health