Provider Demographics
NPI:1083811269
Name:LODGE GRASS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LODGE GRASS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-639-2304
Mailing Address - Street 1:PO BOX 810
Mailing Address - Street 2:
Mailing Address - City:LODGE GRASS
Mailing Address - State:MT
Mailing Address - Zip Code:59050-0810
Mailing Address - Country:US
Mailing Address - Phone:406-639-2304
Mailing Address - Fax:406-639-2388
Practice Address - Street 1:124 N GEORGE ST
Practice Address - Street 2:
Practice Address - City:LODGE GRASS
Practice Address - State:MT
Practice Address - Zip Code:59050-0810
Practice Address - Country:US
Practice Address - Phone:406-639-2304
Practice Address - Fax:406-639-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)