Provider Demographics
NPI:1124406244
Name:HEDLEY ISD
Entity Type:Organization
Organization Name:HEDLEY ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-856-5323
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:HEDLEY
Mailing Address - State:TX
Mailing Address - Zip Code:79237-0069
Mailing Address - Country:US
Mailing Address - Phone:806-856-5323
Mailing Address - Fax:
Practice Address - Street 1:301 JONES
Practice Address - Street 2:
Practice Address - City:HEDLEY
Practice Address - State:TX
Practice Address - Zip Code:79237-0069
Practice Address - Country:US
Practice Address - Phone:806-856-5323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid