Provider Demographics
NPI:1285969535
Name:USD225, FOWLER
Entity type:Organization
Organization Name:USD225, FOWLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYBOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:620-646-5661
Mailing Address - Street 1:100 E. 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:KS
Mailing Address - Zip Code:67844
Mailing Address - Country:US
Mailing Address - Phone:620-646-5661
Mailing Address - Fax:629-646-5713
Practice Address - Street 1:100 EAST 8TH AVENUE
Practice Address - Street 2:100 E. 8TH AVE.
Practice Address - City:FOWLER
Practice Address - State:KS
Practice Address - Zip Code:67844
Practice Address - Country:US
Practice Address - Phone:620-646-5661
Practice Address - Fax:629-646-5713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health