Provider Demographics
NPI:1174664544
Name:HARROLD INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HARROLD INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-MEDICAID BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-553-1900
Mailing Address - Street 1:1713 WILBARGER ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4755
Mailing Address - Country:US
Mailing Address - Phone:940-553-1900
Mailing Address - Fax:940-552-5209
Practice Address - Street 1:1713 WILBARGER ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4755
Practice Address - Country:US
Practice Address - Phone:940-553-1900
Practice Address - Fax:940-552-5209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)