MEDICARE: CHOUTEAU COUNTY SCHOOL #28

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1114328622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOUTEAU COUNTY SCHOOL #28

Provider Business Mailing Address
First Line	:	160 WEST ST S
Second Line	:
City	:	HIGHWOOD
State	:	MT
Zip	:	59450-8796
Country	:	US
Telephone Number	:	406-733-2081
Fax Number	:	406-733-2671

Provider Business Practice Location Address
First Line	:	160 WEST ST S
Second Line	:
City	:	HIGHWOOD
State	:	MT
Zip	:	59450-8796
Country	:	US
Telephone Number	:	406-733-2081
Fax Number	:	406-733-2671

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. BECKY ANNE AARING
Credential	:	M ED.
Telephone Number	:	406-733-2081

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	09/16/2014

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