Provider Demographics
NPI:1275745507
Name:GREGG COUNTY SHARED SERVICES ARRANGEMENT
Entity Type:Organization
Organization Name:GREGG COUNTY SHARED SERVICES ARRANGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-984-8564
Mailing Address - Street 1:5303 OLD HIGHWAY 135 N
Mailing Address - Street 2:
Mailing Address - City:GLADEWATER
Mailing Address - State:TX
Mailing Address - Zip Code:75647-6808
Mailing Address - Country:US
Mailing Address - Phone:903-984-4416
Mailing Address - Fax:903-986-3408
Practice Address - Street 1:5303 OLD HIGHWAY 135 N
Practice Address - Street 2:
Practice Address - City:GLADEWATER
Practice Address - State:TX
Practice Address - Zip Code:75647-6808
Practice Address - Country:US
Practice Address - Phone:903-984-4416
Practice Address - Fax:903-986-3408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SABINE INDEPENDENT SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-07
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)