1487861571 NPI number — CASTRO COUNTY COMPREHENSIVE EDUCATION SSA

Table of content: (NPI 1487861571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487861571 NPI number — CASTRO COUNTY COMPREHENSIVE EDUCATION SSA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASTRO COUNTY COMPREHENSIVE EDUCATION SSA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487861571
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 W HALSELL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DIMMITT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79027-1750
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-647-3103
Provider Business Mailing Address Fax Number:
806-647-5433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 SOUTH FIRST STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAZARETH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79063-0189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-945-2231
Provider Business Practice Location Address Fax Number:
806-945-2431
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GFELLER
Authorized Official First Name:
KAY
Authorized Official Middle Name:
Authorized Official Title or Position:
SPECIAL EDUCATION DIRECTOR
Authorized Official Telephone Number:
806-647-3103

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com