Provider Demographics
NPI:1477603017
Name:NEW BOSTON INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NEW BOSTON INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-628-2521
Mailing Address - Street 1:600 N MCCOY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75570-2314
Mailing Address - Country:US
Mailing Address - Phone:903-628-2521
Mailing Address - Fax:
Practice Address - Street 1:600 N MCCOY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:TX
Practice Address - Zip Code:75570-2314
Practice Address - Country:US
Practice Address - Phone:903-628-2521
Practice Address - Fax:903-628-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253100000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064357902Medicaid