Provider Demographics
NPI:1285764308
Name:KANSAS PUBLIC SCHOOLS
Entity type:Organization
Organization Name:KANSAS PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-868-2562
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:KANSAS
Mailing Address - State:OK
Mailing Address - Zip Code:74347-0196
Mailing Address - Country:US
Mailing Address - Phone:918-868-2562
Mailing Address - Fax:918-868-5584
Practice Address - Street 1:700 N. WOOD AVE.
Practice Address - Street 2:
Practice Address - City:KANSAS
Practice Address - State:OK
Practice Address - Zip Code:74347-0196
Practice Address - Country:US
Practice Address - Phone:918-868-2567
Practice Address - Fax:918-868-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK100680100A251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100680100AMedicaid