Provider Demographics
NPI:1548618457
Name:ROCKDALE INDEPENDENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:ROCKDALE INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GENELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORENEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-430-6000
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:ROCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76567-0632
Mailing Address - Country:US
Mailing Address - Phone:512-430-6000
Mailing Address - Fax:
Practice Address - Street 1:520 W DAVILLA AVE
Practice Address - Street 2:
Practice Address - City:ROCKDALE
Practice Address - State:TX
Practice Address - Zip Code:76567-2861
Practice Address - Country:US
Practice Address - Phone:512-430-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid