Provider Demographics
NPI:1366580169
Name:BALLINGER ISD
Entity type:Organization
Organization Name:BALLINGER ISD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-365-2548
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:302 N. 8TH STREET
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-0047
Mailing Address - Country:US
Mailing Address - Phone:325-365-2548
Mailing Address - Fax:325-365-2549
Practice Address - Street 1:302 N 8TH ST
Practice Address - Street 2:
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-4708
Practice Address - Country:US
Practice Address - Phone:325-365-2548
Practice Address - Fax:325-365-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX065898102Medicare ID - Type UnspecifiedSHARS- INDIVIDUAL