Provider Demographics
NPI:1245463538
Name:MOUNDRIDGE USD423
Entity type:Organization
Organization Name:MOUNDRIDGE USD423
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-345-5500
Mailing Address - Street 1:526 E COLE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNDRIDGE
Mailing Address - State:KS
Mailing Address - Zip Code:67107-7144
Mailing Address - Country:US
Mailing Address - Phone:620-345-5500
Mailing Address - Fax:
Practice Address - Street 1:526 E COLE ST
Practice Address - Street 2:
Practice Address - City:MOUNDRIDGE
Practice Address - State:KS
Practice Address - Zip Code:67107-7144
Practice Address - Country:US
Practice Address - Phone:620-345-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCPHERSON COUNTY SPECIAL ED COOP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)