Healthcare Provider Details

I. General information

NPI: 1891902011
Provider Name (Legal Business Name): SHEPHERD SCHOOL DIST 37
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7842 SHEPHERD ROAD
SHEPHERD MT
59079
US

IV. Provider business mailing address

PO BOX 8
SHEPHERD MT
59079-0008
US

V. Phone/Fax

Practice location:
  • Phone: 406-373-5461
  • Fax: 406-373-5284
Mailing address:
  • Phone: 406-373-5461
  • Fax: 406-373-5284

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: MR. ROBERT D BARNES
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-373-5461