Provider Demographics
NPI:1013105089
Name:THOMPSON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:THOMPSON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-827-3323
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:THOMPSON FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59873-0129
Mailing Address - Country:US
Mailing Address - Phone:406-396-9078
Mailing Address - Fax:406-827-3020
Practice Address - Street 1:307 3RD AVE W
Practice Address - Street 2:
Practice Address - City:THOMPSON FALLS
Practice Address - State:MT
Practice Address - Zip Code:59873-0129
Practice Address - Country:US
Practice Address - Phone:406-396-9078
Practice Address - Fax:406-827-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0172907Medicaid
MT0188383Medicaid