Provider Demographics
NPI:1124251574
Name:CHETOPA-ST. PAUL USD505
Entity type:Organization
Organization Name:CHETOPA-ST. PAUL USD505
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:JUENEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-236-7959
Mailing Address - Street 1:430 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CHETOPA
Mailing Address - State:KS
Mailing Address - Zip Code:67336-8852
Mailing Address - Country:US
Mailing Address - Phone:620-236-7959
Mailing Address - Fax:
Practice Address - Street 1:430 ELM ST
Practice Address - Street 2:
Practice Address - City:CHETOPA
Practice Address - State:KS
Practice Address - Zip Code:67336-8852
Practice Address - Country:US
Practice Address - Phone:620-236-7959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHEAST KANSAS INTERLOCAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)