Healthcare Provider Details

I. General information

NPI: 1710018148
Provider Name (Legal Business Name): FRENCHTOWN SCHOOL DISTRICT #40
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16495 MAIN STREET
FRENCHTOWN MT
59834
US

IV. Provider business mailing address

PO BOX 117
FRENCHTOWN MT
59834-0117
US

V. Phone/Fax

Practice location:
  • Phone: 406-626-2620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: RANDY CLINE
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-626-2620