Provider Demographics
NPI:1124251368
Name:USD 307
Entity type:Organization
Organization Name:USD 307
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MINNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-225-6813
Mailing Address - Street 1:412 E ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67425-9732
Mailing Address - Country:US
Mailing Address - Phone:785-225-6813
Mailing Address - Fax:
Practice Address - Street 1:412 E ANDERSON ST
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:KS
Practice Address - Zip Code:67425-9732
Practice Address - Country:US
Practice Address - Phone:785-225-6813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL KANSAS COOPERATIVE IN EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)