Provider Demographics
NPI:1205160512
Name:GOESSEL USD 411
Entity type:Organization
Organization Name:GOESSEL USD 411
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-367-4601
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:GOESSEL
Mailing Address - State:KS
Mailing Address - Zip Code:67053-0068
Mailing Address - Country:US
Mailing Address - Phone:620-367-4601
Mailing Address - Fax:620-367-4603
Practice Address - Street 1:500 E. MAIN
Practice Address - Street 2:
Practice Address - City:GOESSEL
Practice Address - State:KS
Practice Address - Zip Code:67053-0068
Practice Address - Country:US
Practice Address - Phone:620-367-4601
Practice Address - Fax:620-367-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)