Provider Demographics
NPI:1497037378
Name:LINSAY INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LINSAY INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID ENROLLMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEVESQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-922-9300
Mailing Address - Street 1:PO BOX 1305
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76241-1305
Mailing Address - Country:US
Mailing Address - Phone:940-668-8923
Mailing Address - Fax:940-668-7361
Practice Address - Street 1:495 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:TX
Practice Address - Zip Code:76250
Practice Address - Country:US
Practice Address - Phone:940-668-8923
Practice Address - Fax:940-668-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX049907251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)