Provider Demographics
NPI:1013240183
Name:USD 396 DOUGLASS PUBLIC SCHOOLS
Entity type:Organization
Organization Name:USD 396 DOUGLASS PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-747-3300
Mailing Address - Street 1:921 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASS
Mailing Address - State:KS
Mailing Address - Zip Code:67039-9315
Mailing Address - Country:US
Mailing Address - Phone:316-747-3300
Mailing Address - Fax:316-747-3305
Practice Address - Street 1:921 E 1ST ST
Practice Address - Street 2:
Practice Address - City:DOUGLASS
Practice Address - State:KS
Practice Address - Zip Code:67039-9315
Practice Address - Country:US
Practice Address - Phone:316-747-3300
Practice Address - Fax:316-747-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)