Provider Demographics
NPI:1528291911
Name:USD 332 CUNNINGHAM - WEST KINGMAN COUNTY
Entity type:Organization
Organization Name:USD 332 CUNNINGHAM - WEST KINGMAN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORTMAYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:620-298-3271
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:117 N. MAIN STREET
Mailing Address - City:CUNNINGHAM
Mailing Address - State:KS
Mailing Address - Zip Code:67035-0067
Mailing Address - Country:US
Mailing Address - Phone:620-298-3271
Mailing Address - Fax:620-298-2562
Practice Address - Street 1:117 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CUNNINGHAM
Practice Address - State:KS
Practice Address - Zip Code:67035-9737
Practice Address - Country:US
Practice Address - Phone:620-298-3271
Practice Address - Fax:620-298-2562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)