Provider Demographics
NPI:1669601100
Name:AXTELL USD 488
Entity type:Organization
Organization Name:AXTELL USD 488
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTKOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-736-2304
Mailing Address - Street 1:204 5TH ST
Mailing Address - Street 2:
Mailing Address - City:AXTELL
Mailing Address - State:KS
Mailing Address - Zip Code:66403-9623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 5TH ST
Practice Address - Street 2:
Practice Address - City:AXTELL
Practice Address - State:KS
Practice Address - Zip Code:66403-9623
Practice Address - Country:US
Practice Address - Phone:785-736-2304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEMAHA VALLEY USD 442
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)