Mission Valley Usd 330

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MISSION VALLEY USD 330

Practice address

12685 Mission Valley Rd
Suite C
Eskridge, KS 66423-8910

Phone

(785) 449-2871

Fax

(785) 449-2260

NPI assigned

Jul 20, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Christensen

Title

Director

Phone

(785) 449-2871

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1972523413",
    "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": "12685 MISSION VALLEY RD",
            "address_2": "SUITE C",
            "city": "ESKRIDGE",
            "state": "KS",
            "postal_code": "664238910",
            "telephone_number": "785-449-2871",
            "fax_number": "785-449-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY USD 330",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-449-2871"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dpminnocenzinroh LLC
• Eskridge Care and Rehabilitation Center, LLC
• Eskridge Operator, LLC
• Jordan Hildebrand

• Local Education Agency (LEA) in Eskridge, KS
• Providers in Eskridge, KS by specialty
• Local Education Agency (LEA) in Kansas

• 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.