Provider Demographics
NPI:1952634529
Name:MARMATON VALLEY USD #256
Entity Type:Organization
Organization Name:MARMATON VALLEY USD #256
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-237-4250
Mailing Address - Street 1:128 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:MORAN
Mailing Address - State:KS
Mailing Address - Zip Code:66755-4056
Mailing Address - Country:US
Mailing Address - Phone:620-237-4250
Mailing Address - Fax:620-237-8872
Practice Address - Street 1:128 W OAK ST
Practice Address - Street 2:
Practice Address - City:MORAN
Practice Address - State:KS
Practice Address - Zip Code:66755-4056
Practice Address - Country:US
Practice Address - Phone:620-237-4250
Practice Address - Fax:620-237-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS=========Medicaid