Provider Demographics
NPI:1568692267
Name:CHOTEAU SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CHOTEAU SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ST JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-466-5303
Mailing Address - Street 1:204 7TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:CHOTEAU
Mailing Address - State:MT
Mailing Address - Zip Code:59422-9287
Mailing Address - Country:US
Mailing Address - Phone:406-466-5303
Mailing Address - Fax:406-466-5305
Practice Address - Street 1:204 7TH AVE NW
Practice Address - Street 2:
Practice Address - City:CHOTEAU
Practice Address - State:MT
Practice Address - Zip Code:59422-9287
Practice Address - Country:US
Practice Address - Phone:406-466-5303
Practice Address - Fax:406-466-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid