Provider Demographics
NPI:1215260799
Name:USD #111 DONIPHAN WEST
Entity type:Organization
Organization Name:USD #111 DONIPHAN WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REX
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-442-3286
Mailing Address - Street 1:202 W ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:KS
Mailing Address - Zip Code:66035-4229
Mailing Address - Country:US
Mailing Address - Phone:785-442-3286
Mailing Address - Fax:
Practice Address - Street 1:202 W ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:KS
Practice Address - Zip Code:66035-4229
Practice Address - Country:US
Practice Address - Phone:785-442-3286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DONIPHAN COUNTY EDUCATION COOP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)