MEDICARE: JAYTON-GIRAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1932634995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYTON-GIRAND

Provider Business Mailing Address
First Line	:	PO BOX 168
Second Line	:
City	:	JAYTON
State	:	TX
Zip	:	79528-0168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 MADISON
Second Line	:
City	:	JAYTON
State	:	TX
Zip	:	79528-0168
Country	:	US
Telephone Number	:	806-237-2991
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	TRIG OVERBO
Credential	:
Telephone Number	:	806-237-2991

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	04/27/2017

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Directions to “JAYTON-GIRAND ” Practice Location

Language	Start Address	Practice Location

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