Organization
CLAY CENTER USD 379
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN KOEHLER (SPECIAL EDUCATION DIRECTOR)
(785) 632-3178
Entity
Organization
Contact information
Practice address
807 DEXTER ST, CLAY CENTER, KS 67432-2636
(785) 632-3178
(785) 632-5020
Mailing address
PO BOX 189, GIRARD, KS 66743-0189
(888) 654-8701
(620) 724-7141
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263160A
—
KS
Enumeration date
07/20/2006
Last updated
02/10/2010
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