MEDICARE: COUNTY OF SANDERS TROUT CREEK SCHOOL DISTRICT 6

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	:	1962676031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SANDERS TROUT CREEK SCHOOL DISTRICT 6

Provider Business Mailing Address
First Line	:	4 SCHOOL LN
Second Line	:
City	:	TROUT CREEK
State	:	MT
Zip	:	59874-9671
Country	:	US
Telephone Number	:	406-827-3629
Fax Number	:	406-827-4185

Provider Business Practice Location Address
First Line	:	4 SCHOOL LN
Second Line	:
City	:	TROUT CREEK
State	:	MT
Zip	:	59874-9671
Country	:	US
Telephone Number	:	406-827-3629
Fax Number	:	406-827-4185

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DAISY M CARLSMITH
Credential	:
Telephone Number	:	406-827-3629

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	06/23/2008

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