Healthcare Provider Details

I. General information

NPI: 1720217060
Provider Name (Legal Business Name): SHERIDAN SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MADISON
SHERIDAN MT
59749-0586
US

IV. Provider business mailing address

211 MADISON
SHERIDAN MT
59749-0586
US

V. Phone/Fax

Practice location:
  • Phone: 406-842-5302
  • Fax: 406-842-5391
Mailing address:
  • Phone: 406-842-5302
  • Fax: 406-842-5391

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: KIM HARDING
Title or Position: SUPERINTENDENT
Credential:
Phone: 406-842-5302