Organization Active NPI

Liberal Usd 480

  • Local Education Agency (LEA)
  • Liberal, KS
National Provider Identifier
1215958475
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LIBERAL USD 480
Practice address
624 N Grant Ave
Liberal, KS 67901-0949
Phone
(620) 626-3824
Fax
(620) 629-4004
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vickie Adams
Title
Director
Phone
(620) 626-3824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

624 N Grant Ave
Liberal, KS 67901-0949

Mailing address

PO Box 189
Girard, KS 66743-0189
Phone (620) 724-6281

Other identifiers 1

IdentifierTypeStateIssuer
100263600AMedicaidKS

National Provider Directory

National Provider Directory

Locations

624 N Grant Ave
Liberal, KS 67901
Phone (620) 626-3824

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1215958475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667430189",
            "telephone_number": "620-724-6281",
            "fax_number": "620-724-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N GRANT AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679010949",
            "telephone_number": "620-626-3824",
            "fax_number": "620-629-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL USD 480",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-626-3824"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.