Provider Demographics
NPI:1568610699
Name:ENNIS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ENNIS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-682-4258
Mailing Address - Street 1:323 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:MT
Mailing Address - Zip Code:59729-0517
Mailing Address - Country:US
Mailing Address - Phone:406-682-4258
Mailing Address - Fax:406-682-7751
Practice Address - Street 1:323 CHARLES ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:MT
Practice Address - Zip Code:59729-0517
Practice Address - Country:US
Practice Address - Phone:406-682-4258
Practice Address - Fax:406-682-7751
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)