Provider Demographics
NPI:1043544042
Name:UNIFIED SCHOOL DISTRICT NO. 464
Entity type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT NO. 464
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-369-2183
Mailing Address - Street 1:PO BOX 199
Mailing Address - Street 2:
Mailing Address - City:TONGANOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:66086-0199
Mailing Address - Country:US
Mailing Address - Phone:913-369-2183
Mailing Address - Fax:913-845-3629
Practice Address - Street 1:330 EAST 24/40 HWY
Practice Address - Street 2:
Practice Address - City:TONGANOXIE
Practice Address - State:KS
Practice Address - Zip Code:66086-0199
Practice Address - Country:US
Practice Address - Phone:913-369-2183
Practice Address - Fax:913-845-3629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health