Organization
USD 102 CIMARRON-ENSIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIS SPRAGUE (SPECIAL ED. DIRECTOR)
(800) 657-6023
Entity
Organization
Contact information
Practice address
314 NORTH 1ST STREET, CIMARRON, KS 67835
(620) 855-7743
(620) 855-7745
Mailing address
PO BOX 489, CIMARRON, KS 67835-0489
(620) 855-7743
(620) 855-7745
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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