Provider Demographics
NPI:1750615704
Name:EASTON USD 449
Entity type:Organization
Organization Name:EASTON USD 449
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:COBLENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-651-9740
Mailing Address - Street 1:32502 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:KS
Mailing Address - Zip Code:66020-7260
Mailing Address - Country:US
Mailing Address - Phone:913-651-9740
Mailing Address - Fax:913-324-5237
Practice Address - Street 1:32502 EASTON RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:KS
Practice Address - Zip Code:66020-7260
Practice Address - Country:US
Practice Address - Phone:913-651-9740
Practice Address - Fax:913-324-5237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health