Active NPI
Ottawa-Wellsville Infant Toddler Program
- Local Education Agency (LEA)
- Ottawa, KS
National Provider Identifier
1336160563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100211750B | Medicaid | KS |
National Provider Directory
National Provider Directory- Tax ID family
- Ottawa Usd 290
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Ottawa, KS
- NPI 1124048673
-
- Local Education Agency (LEA)
- Ottawa, KS
- NPI 1215260708
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
- Ottawa Medical Services, Inc. (Ottawa West)
- Ottawa Oral Surgery LC (Lawrence Oral and Maxillofacial Surgery LC)
- Ottawa Retirement Plaza, Inc. (Ottawa Plaza)
- Ottawa Retirement Village, Inc. (Ottawa Retirement Village)
- Ottawa Usd 290
- Yaw Nkansah Owusu-Ansah, PHARMD
- James Page, ATC
- Maegan I Pankey, OTR/L
- Dana Rene' Paquette, LCP
- Roosha Hiren Parikh, PT
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.