MEDICARE: NEW BOSTON 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)	253100000X	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477603017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BOSTON INDEPENDENT SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	600 N MCCOY BLVD
Second Line	:
City	:	NEW BOSTON
State	:	TX
Zip	:	75570-2314
Country	:	US
Telephone Number	:	903-628-2521
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N MCCOY BLVD
Second Line	:
City	:	NEW BOSTON
State	:	TX
Zip	:	75570-2314
Country	:	US
Telephone Number	:	903-628-2521
Fax Number	:	903-628-2235

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	ANITA CLAY
Credential	:
Telephone Number	:	903-628-2521

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	06/23/2008

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Directions to “NEW BOSTON INDEPENDENT SCHOOL DISTRICT ” Practice Location

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