Provider Demographics
NPI:1225446065
Name:PLEVNA SCHOOL DISTRICT #55
Entity Type:Organization
Organization Name:PLEVNA SCHOOL DISTRICT #55
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-772-5666
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:PLEVNA
Mailing Address - State:MT
Mailing Address - Zip Code:59344-0158
Mailing Address - Country:US
Mailing Address - Phone:406-772-5666
Mailing Address - Fax:406-772-5548
Practice Address - Street 1:327 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEVNA
Practice Address - State:MT
Practice Address - Zip Code:59344-0158
Practice Address - Country:US
Practice Address - Phone:406-772-5666
Practice Address - Fax:406-772-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)