MEDICARE: WEST SABINE 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	:	1497913875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST SABINE ISD

Provider Business Mailing Address
First Line	:	PO BOX 1950
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948-1950
Country	:	US
Telephone Number	:	409-787-2338
Fax Number	:	409-787-2847

Provider Business Practice Location Address
First Line	:	100 TIMBERLAND
Second Line	:
City	:	PINELAND
State	:	TX
Zip	:	75968
Country	:	US
Telephone Number	:	409-787-2338
Fax Number	:	409-787-2847

Authorized Official
Title or Position	:	SECRETARY
Name	:	LAURIE WILLIAMS
Credential	:
Telephone Number	:	409-787-2338

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

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Directions to “WEST SABINE ISD ” Practice Location

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