Provider Demographics
NPI:1942343322
Name:NEW DIANA ISD
Entity Type:Organization
Organization Name:NEW DIANA ISD
Other - Org Name:UPSHUR COUNTY SSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MGR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-843-5575
Mailing Address - Street 1:113 W TYLER ST
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-2239
Mailing Address - Country:US
Mailing Address - Phone:903-843-5575
Mailing Address - Fax:903-843-3300
Practice Address - Street 1:1373 US HWY 259 S
Practice Address - Street 2:
Practice Address - City:DIANA
Practice Address - State:TX
Practice Address - Zip Code:75640-2651
Practice Address - Country:US
Practice Address - Phone:903-663-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)