Healthcare Provider Details

I. General information

NPI: 1770661050
Provider Name (Legal Business Name): REGION 16 EDUCATION SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 BELL ST
AMARILLO TX
79109-6230
US

IV. Provider business mailing address

5800 BELL ST
AMARILLO TX
79109-6230
US

V. Phone/Fax

Practice location:
  • Phone: 806-677-5224
  • Fax: 806-677-5223
Mailing address:
  • Phone: 806-677-5224
  • Fax: 806-677-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LANCE TERRELL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 806-677-5000