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Organization

SIVELLS BEND INDEPENDENT SCHOOL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD LEVESQUE (MEDICAID ENROLLMENT SPECIALIST)
(208) 922-9300
Entity
Organization

Contact information

Practice address
1053 COUNTY ROAD 403, GAINESVILLE, TX 76240-0328
(940) 665-6411
(940) 668-7361
Mailing address
PO BOX 1305, GAINESVILLE, TX 76241-1305
(940) 665-6411
(940) 668-7361

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
049909
TX

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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