Provider Demographics
NPI:1750670865
Name:CARDWELL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CARDWELL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-287-3321
Mailing Address - Street 1:80 MT HIGHWAY 359
Mailing Address - Street 2:
Mailing Address - City:CARDWELL
Mailing Address - State:MT
Mailing Address - Zip Code:59721-9604
Mailing Address - Country:US
Mailing Address - Phone:406-287-3321
Mailing Address - Fax:
Practice Address - Street 1:80 MT HIGHWAY 359
Practice Address - Street 2:
Practice Address - City:CARDWELL
Practice Address - State:MT
Practice Address - Zip Code:59721-9604
Practice Address - Country:US
Practice Address - Phone:406-287-3321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477569473Medicaid