Provider Demographics
NPI:1679000822
Name:SWAN RIVER SCHOOL DISTRICT #4
Entity Type:Organization
Organization Name:SWAN RIVER SCHOOL DISTRICT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-837-4528
Mailing Address - Street 1:1205 SWAN HWY
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-6401
Mailing Address - Country:US
Mailing Address - Phone:406-837-4528
Mailing Address - Fax:406-837-4055
Practice Address - Street 1:1205 SWAN HWY
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-6401
Practice Address - Country:US
Practice Address - Phone:406-837-4528
Practice Address - Fax:406-837-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)