Provider Demographics
NPI:1417070178
Name:BLOOMINGTON I.S.D.
Entity Type:Organization
Organization Name:BLOOMINGTON I.S.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:361-897-1652
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:77951-0158
Mailing Address - Country:US
Mailing Address - Phone:361-897-1652
Mailing Address - Fax:
Practice Address - Street 1:FM 616
Practice Address - Street 2:2875
Practice Address - City:BLOOMINGTON
Practice Address - State:TX
Practice Address - Zip Code:77951-0158
Practice Address - Country:US
Practice Address - Phone:361-897-1652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)