Provider Demographics
NPI:1376832923
Name:ST IGNATIUS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ST IGNATIUS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWANDOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-745-3811
Mailing Address - Street 1:300 BLAINE
Mailing Address - Street 2:
Mailing Address - City:ST IGNATIUS
Mailing Address - State:MT
Mailing Address - Zip Code:59865-1540
Mailing Address - Country:US
Mailing Address - Phone:406-745-3811
Mailing Address - Fax:406-745-4421
Practice Address - Street 1:300 BLAINE
Practice Address - Street 2:
Practice Address - City:ST IGNATIUS
Practice Address - State:MT
Practice Address - Zip Code:59865-1540
Practice Address - Country:US
Practice Address - Phone:406-745-3811
Practice Address - Fax:406-745-4421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477569473Medicaid