Provider Demographics
NPI:1982219705
Name:DESMET SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DESMET SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIESSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-549-4994
Mailing Address - Street 1:6355 PADRE LANE
Mailing Address - Street 2:ATTN: MATT DRIESSEN, PRINCIPAL
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-9429
Mailing Address - Country:US
Mailing Address - Phone:406-549-4994
Mailing Address - Fax:406-549-6731
Practice Address - Street 1:6355 PADRE LANE
Practice Address - Street 2:ATTN: MATT DRIESSEN, PRINCIPAL
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-9429
Practice Address - Country:US
Practice Address - Phone:406-549-4994
Practice Address - Fax:406-549-6731
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESMET SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)