Healthcare Provider Details

I. General information

NPI: 1598082166
Provider Name (Legal Business Name): CHARLO SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2010
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 1STT AVE WEST
CHARLO MT
59824-0010
US

IV. Provider business mailing address

404 1ST AVENUE WEST
CHARLO MT
59824-0010
US

V. Phone/Fax

Practice location:
  • Phone: 406-644-2206
  • Fax: 406-644-2400
Mailing address:
  • Phone: 406-644-2206
  • Fax: 406-644-2400

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: PAUL JENKIN S
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-644-2206