Provider Demographics
NPI:1558706663
Name:PERRIN-WHITT CONSOLIDATED INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PERRIN-WHITT CONSOLIDATED INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-798-3718
Mailing Address - Street 1:216 N BENSON ST
Mailing Address - Street 2:
Mailing Address - City:PERRIN
Mailing Address - State:TX
Mailing Address - Zip Code:76486-3173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:216 N BENSON ST
Practice Address - Street 2:
Practice Address - City:PERRIN
Practice Address - State:TX
Practice Address - Zip Code:76486-3173
Practice Address - Country:US
Practice Address - Phone:940-798-3718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid