Provider Demographics
NPI:1164800454
Name:THREE FORKS SCHOOL DISTRICT #J24
Entity Type:Organization
Organization Name:THREE FORKS SCHOOL DISTRICT #J24
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBELL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:406-285-3224
Mailing Address - Street 1:212 EAST NEAL
Mailing Address - Street 2:
Mailing Address - City:THREE FORKS
Mailing Address - State:MT
Mailing Address - Zip Code:59752
Mailing Address - Country:US
Mailing Address - Phone:406-285-3224
Mailing Address - Fax:406-285-3216
Practice Address - Street 1:212 EAST NEAL
Practice Address - Street 2:
Practice Address - City:THREE FORKS
Practice Address - State:MT
Practice Address - Zip Code:59752
Practice Address - Country:US
Practice Address - Phone:406-285-3224
Practice Address - Fax:406-285-3216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT69984251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)