Provider Demographics
NPI:1104970144
Name:UNIFIED SCHOOL DISTRICT 489
Entity type:Organization
Organization Name:UNIFIED SCHOOL DISTRICT 489
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-623-2400
Mailing Address - Street 1:323 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3812
Mailing Address - Country:US
Mailing Address - Phone:785-623-2400
Mailing Address - Fax:785-623-2412
Practice Address - Street 1:323 W 12TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3812
Practice Address - Country:US
Practice Address - Phone:785-623-2400
Practice Address - Fax:785-623-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health