Provider Demographics
NPI:1699984765
Name:VAN VLECK INDEPENDENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:VAN VLECK INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-323-5004
Mailing Address - Street 1:142 SOUTH FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:VAN VLECK
Mailing Address - State:TX
Mailing Address - Zip Code:77482
Mailing Address - Country:US
Mailing Address - Phone:979-245-5321
Mailing Address - Fax:979-245-1214
Practice Address - Street 1:142 SOUTH FOURTH STREET
Practice Address - Street 2:
Practice Address - City:VAN VLECK
Practice Address - State:TX
Practice Address - Zip Code:77482
Practice Address - Country:US
Practice Address - Phone:979-245-5321
Practice Address - Fax:979-245-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherPUBLIC SCHOOL TAX ID NUMB