MEDICARE: SPRING HIL INDEPENDENT SCHOOL DISTRICT

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	:	1306991179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING HIL INDEPENDENT SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	5303 OLD HIGHWAY 135 N
Second Line	:
City	:	GLADEWATER
State	:	TX
Zip	:	75647-6808
Country	:	US
Telephone Number	:	903-984-4416
Fax Number	:	903-986-3408

Provider Business Practice Location Address
First Line	:	3101 SPRING HILL RD
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-2822
Country	:	US
Telephone Number	:	903-759-4404
Fax Number	:	903-297-0141

Authorized Official
Title or Position	:	FINANCE AND TECHNOLOGY
Name	:	MR. GARY NASH
Credential	:
Telephone Number	:	903-759-4404

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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