Provider Demographics
NPI:1821324971
Name:SCHOOL DISTRICT #1 BIG TIMBER GRADE SCHOOL
Entity Type:Organization
Organization Name:SCHOOL DISTRICT #1 BIG TIMBER GRADE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KETCHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-932-5939
Mailing Address - Street 1:501 ANDERSON ST
Mailing Address - Street 2:PO BOX 887
Mailing Address - City:BIG TIMBER
Mailing Address - State:MT
Mailing Address - Zip Code:59011-9500
Mailing Address - Country:US
Mailing Address - Phone:406-932-5939
Mailing Address - Fax:406-932-4069
Practice Address - Street 1:501 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:BIG TIMBER
Practice Address - State:MT
Practice Address - Zip Code:59011-9500
Practice Address - Country:US
Practice Address - Phone:406-932-5939
Practice Address - Fax:406-932-4069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)