MEDICARE: SANTA ANNA ISD

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	:	1942343801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA ANNA ISD

Provider Business Mailing Address
First Line	:	PO BOX 3336
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76803-3336
Country	:	US
Telephone Number	:	325-643-4813
Fax Number	:	325-643-6403

Provider Business Practice Location Address
First Line	:	701 BOWIE ST
Second Line	:
City	:	SANTA ANNA
State	:	TX
Zip	:	76878-2513
Country	:	US
Telephone Number	:	325-643-4813
Fax Number	:	325-643-6403

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JOHNNIE SUE LANCASTER
Credential	:
Telephone Number	:	325-643-4813

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	10/01/2007

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Directions to “SANTA ANNA ISD ” Practice Location

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