Provider Demographics
NPI:1457694465
Name:CENTERVILLE ISD
Entity type:Organization
Organization Name:CENTERVILLE ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-642-1597
Mailing Address - Street 1:10327 N STATE HIGHWAY 94
Mailing Address - Street 2:
Mailing Address - City:GROVETON
Mailing Address - State:TX
Mailing Address - Zip Code:75845-2651
Mailing Address - Country:US
Mailing Address - Phone:936-642-1597
Mailing Address - Fax:936-642-2810
Practice Address - Street 1:10327 N STATE HIGHWAY 94
Practice Address - Street 2:
Practice Address - City:GROVETON
Practice Address - State:TX
Practice Address - Zip Code:75845-2651
Practice Address - Country:US
Practice Address - Phone:936-642-1597
Practice Address - Fax:936-642-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)