Provider Demographics
NPI:1568610681
Name:BROCKTON PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:BROCKTON PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITESELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-786-3195
Mailing Address - Street 1:529 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0198
Mailing Address - Country:US
Mailing Address - Phone:406-786-3195
Mailing Address - Fax:406-786-3121
Practice Address - Street 1:529 5TH ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MT
Practice Address - Zip Code:59102-0198
Practice Address - Country:US
Practice Address - Phone:406-786-3195
Practice Address - Fax:406-786-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)