Provider Demographics
NPI:1689876120
Name:MUSSELSHELL COUNTY
Entity Type:Organization
Organization Name:MUSSELSHELL COUNTY
Other - Org Name:ROUNDUP PUBLIC SCHOOLS -CSCT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-323-1507
Mailing Address - Street 1:700 3RD ST W
Mailing Address - Street 2:
Mailing Address - City:ROUNDUP
Mailing Address - State:MT
Mailing Address - Zip Code:59072-2412
Mailing Address - Country:US
Mailing Address - Phone:406-323-1507
Mailing Address - Fax:
Practice Address - Street 1:700 3RD ST W
Practice Address - Street 2:
Practice Address - City:ROUNDUP
Practice Address - State:MT
Practice Address - Zip Code:59072-2412
Practice Address - Country:US
Practice Address - Phone:406-323-1507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT=========Medicaid