Provider Demographics
NPI:1629288014
Name:HAMSHIRE-FANNETT ISD
Entity Type:Organization
Organization Name:HAMSHIRE-FANNETT ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-981-6460
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:HAMSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77622-0223
Mailing Address - Country:US
Mailing Address - Phone:409-981-6460
Mailing Address - Fax:
Practice Address - Street 1:12702 2ND ST
Practice Address - Street 2:
Practice Address - City:HAMSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77622-9403
Practice Address - Country:US
Practice Address - Phone:409-981-6460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064703402Medicaid