Provider Demographics
NPI:1982937470
Name:UNIFIED SCHOOL DISTRICT 459
Entity Type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 459
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:W.
Authorized Official - Middle Name:S
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-826-3828
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:BUCKLIN
Mailing Address - State:KS
Mailing Address - Zip Code:67834-0008
Mailing Address - Country:US
Mailing Address - Phone:620-826-3828
Mailing Address - Fax:620-826-3377
Practice Address - Street 1:422 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCKLIN
Practice Address - State:KS
Practice Address - Zip Code:67834-3433
Practice Address - Country:US
Practice Address - Phone:620-826-3828
Practice Address - Fax:620-826-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health