Provider Demographics
NPI:1114106473
Name:BOAZ CITY SCHOOLS
Entity Type:Organization
Organization Name:BOAZ CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:
Authorized Official - Last Name:DISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-593-8180
Mailing Address - Street 1:126 NEWT PARKER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-1263
Mailing Address - Country:US
Mailing Address - Phone:256-593-8180
Mailing Address - Fax:
Practice Address - Street 1:126 NEWT PARKER DR
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-1263
Practice Address - Country:US
Practice Address - Phone:256-593-8180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)