Provider Demographics
NPI:1720124647
Name:SEDGWICK COUNTY AREA ED SERV 618
Entity Type:Organization
Organization Name:SEDGWICK COUNTY AREA ED SERV 618
Other - Org Name:SEDGWICK COUNTY AREA EDUCATIONAL SERVICES INTERLOCAL COOPERATIVE #618
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:N
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-794-8641
Mailing Address - Street 1:620 INDUSTRIAL
Mailing Address - Street 2:P.O. BOX 760
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-0760
Mailing Address - Country:US
Mailing Address - Phone:316-794-8641
Mailing Address - Fax:316-794-2439
Practice Address - Street 1:620 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052-7009
Practice Address - Country:US
Practice Address - Phone:316-794-8641
Practice Address - Fax:316-794-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)