Healthcare Provider Details

I. General information

NPI: 1306995071
Provider Name (Legal Business Name): MISSOULA COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MISSOULA COUNTY PUBLIC SCHOOLS 215 SOUTH SIXTH WEST
MISSOULA MT
59801-4028
US

IV. Provider business mailing address

215 SOUTH 6TH ST WEST MCPS
MISSOULA MT
59801-4028
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-2400
  • Fax: 406-327-6961
Mailing address:
  • Phone: 406-728-2400
  • Fax: 406-327-6969

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: CHARLENE NONE HUBBARD
Title or Position: SPECIAL EDUCATION SECRETARY
Credential:
Phone: 406-728-2400