Panola Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PANOLA CHARTER SCHOOL

Practice address

416 W Panola St
Carthage, TX 75633-2537

Phone

(903) 693-6355

Fax

(903) 693-6391

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith Koonce

Title

Business Manager

Phone

(903) 693-6355

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881747095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332537",
            "telephone_number": "903-693-6355",
            "fax_number": "903-693-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332537",
            "telephone_number": "903-693-6355",
            "fax_number": "903-693-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOLA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "903-693-6355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kende Oliver
• Kelcie Lauren Oney, OTR
• Prissi Owens
• Stephanie Ann Page, BSN, RN
• Panola 501 Partners, LP
• Panola Dental, PLLC
• Panola Emergency Medicine Associates PA
• Jim Jason Phillips, MD
• Shannon E Phillips Jr., N.P.
• Premise Health of Texas Medical PA

• All providers in Carthage, TX
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.