Provider Demographics
NPI:1558631127
Name:HELENA FLATS SCHOOL
Entity Type:Organization
Organization Name:HELENA FLATS SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-257-2301
Mailing Address - Street 1:1000 HELENA FLATS RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6623
Mailing Address - Country:US
Mailing Address - Phone:406-257-2301
Mailing Address - Fax:406-257-2304
Practice Address - Street 1:1000 HELENA FLATS RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6623
Practice Address - Country:US
Practice Address - Phone:406-257-2301
Practice Address - Fax:406-257-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid