Organization Active NPI

Ottawa-Wellsville Infant Toddler Program

  • Local Education Agency (LEA)
  • Ottawa, KS
National Provider Identifier
1336160563
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OTTAWA-WELLSVILLE INFANT TODDLER PROGRAM
Practice address
1404 S Ash
Ottawa, KS 66067-2250
Phone
(785) 229-8110
Fax
(785) 229-8119
NPI assigned
Jul 22, 2006
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dan Wray
Title
Director
Phone
(785) 229-8110

Specialties & licenses 1

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

Addresses

Primary practice location

1404 S Ash
Ottawa, KS 66067-2250

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100211750BMedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Ottawa Usd 2903 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1404 S Ash St
Ottawa, KS 66067
Phone (785) 229-8110

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": "1404691200000",
    "number": "1336160563",
    "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": "1404 S ASH",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672250",
            "telephone_number": "785-229-8110",
            "fax_number": "785-229-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA-WELLSVILLE INFANT TODDLER PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-229-8110"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211750B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.