Healthcare Provider Details

I. General information

NPI: 1053661629
Provider Name (Legal Business Name): CHESTER SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 09/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SCHOOL DR
CHESTER MT
59522-0550
US

IV. Provider business mailing address

101 SCHOOL DR
CHESTER MT
59522
US

V. Phone/Fax

Practice location:
  • Phone: 406-759-5108
  • Fax: 406-759-5867
Mailing address:
  • Phone: 406-759-5108
  • Fax: 406-759-5867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RITA CHVILICEK
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-759-5108