# USD 102 CIMARRON-ENSIGN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225363120
- **Authorized official:** DANIS SPRAGUE (SPECIAL ED. DIRECTOR)
- **Authorized official phone:** (800) 657-6023

## Contact information

- **Practice address:** 314 NORTH 1ST STREET, CIMARRON, KS 67835
- **Practice address phone:** (620) 855-7743
- **Practice address fax:** (620) 855-7745
- **Mailing address:** PO BOX 489, CIMARRON, KS 67835-0489
- **Mailing address phone:** (620) 855-7743
- **Mailing address fax:** (620) 855-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009