Healthcare Provider Details

I. General information

NPI: 1043410285
Provider Name (Legal Business Name): HARLEM SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 1ST AVE SE
HARLEM MT
59526
US

IV. Provider business mailing address

PO BOX 339
HARLEM MT
59526-0339
US

V. Phone/Fax

Practice location:
  • Phone: 406-353-2258
  • Fax: 406-353-2892
Mailing address:
  • Phone: 406-353-2289
  • Fax: 406-353-2892

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: M NEIL TERHUNE
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-353-2289