Provider Demographics
NPI:1013105006
Name:SUPERIOR HIGH SCHOOL
Entity Type:Organization
Organization Name:SUPERIOR HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-822-3600
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:MT
Mailing Address - Zip Code:59872-0400
Mailing Address - Country:US
Mailing Address - Phone:406-822-3600
Mailing Address - Fax:
Practice Address - Street 1:1003 5TH AVE E
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:MT
Practice Address - Zip Code:59872-7702
Practice Address - Country:US
Practice Address - Phone:406-822-3600
Practice Address - Fax:406-822-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)