Provider Demographics
NPI:1225151434
Name:SILSBEE INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SILSBEE INDEPENDENT SCHOOL DISTRICT
Other - Org Name:PROJECT SEARCH ECI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MED
Authorized Official - Phone:409-980-7800
Mailing Address - Street 1:1005 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3826
Mailing Address - Country:US
Mailing Address - Phone:409-385-3510
Mailing Address - Fax:409-386-5751
Practice Address - Street 1:1005 N 7TH ST
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3826
Practice Address - Country:US
Practice Address - Phone:409-385-3510
Practice Address - Fax:409-386-5751
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILSBEE INDEPENDENT SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017442701Medicaid