Healthcare Provider Details

I. General information

NPI: 1164775219
Provider Name (Legal Business Name): ABSAROKEE PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 S WOODARD AVE
ABSAROKEE MT
59001-6308
US

IV. Provider business mailing address

327 S WOODARD AVE
ABSAROKEE MT
59001-6308
US

V. Phone/Fax

Practice location:
  • Phone: 406-328-4583
  • Fax: 406-328-4077
Mailing address:
  • Phone: 406-328-4583
  • Fax: 406-328-4077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DUSTIN STURM
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-328-4583