Provider Demographics
NPI:1023341260
Name:USD 306 SOUTHEAST OF SALINE
Entity type:Organization
Organization Name:USD 306 SOUTHEAST OF SALINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-536-4291
Mailing Address - Street 1:5056 EAST K-4 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:GYPSUM
Mailing Address - State:KS
Mailing Address - Zip Code:67448-9762
Mailing Address - Country:US
Mailing Address - Phone:785-536-4291
Mailing Address - Fax:
Practice Address - Street 1:5056 EAST K-4 HIGHWAY
Practice Address - Street 2:
Practice Address - City:GYPSUM
Practice Address - State:KS
Practice Address - Zip Code:67448-9762
Practice Address - Country:US
Practice Address - Phone:785-536-4291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL KANSAS COOPERATIVE IN EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)