Provider Demographics
NPI:1922576453
Name:LIMA SCHOOL DISTRICT #12
Entity Type:Organization
Organization Name:LIMA SCHOOL DISTRICT #12
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYBURN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CAGS
Authorized Official - Phone:406-276-3571
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:MT
Mailing Address - Zip Code:59739-0186
Mailing Address - Country:US
Mailing Address - Phone:406-276-3571
Mailing Address - Fax:406-276-3495
Practice Address - Street 1:1 N. HARRISON STREET
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:MT
Practice Address - Zip Code:59739
Practice Address - Country:US
Practice Address - Phone:406-276-3571
Practice Address - Fax:406-276-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)