Organization Active NPI

Centerville School District

  • Local Education Agency (LEA)
  • Sand Coulee, MT
National Provider Identifier
1104026780
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CENTERVILLE SCHOOL DISTRICT
Practice address
693 Stockett Rd
Sand Coulee, MT 59472-9757
Phone
(406) 736-5123
Fax
(406) 736-5210
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mike Meyer
Title
Superintendent
Phone
(406) 736-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

693 Stockett Rd
Sand Coulee, MT 59472-9757

Mailing address

693 Stockett Rd
Sand Coulee, MT 59472-9757
Phone (406) 736-5123

Other identifiers 1

IdentifierTypeStateIssuer
0166481MedicaidMT

National Provider Directory

National Provider Directory

Locations

693 Stockett Rd
Sand Coulee, MT 59472
Phone (406) 736-5123

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1104026780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 STOCKETT RD",
            "city": "SAND COULEE",
            "state": "MT",
            "postal_code": "594729757",
            "telephone_number": "406-736-5123",
            "fax_number": "406-736-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 STOCKETT RD",
            "city": "SAND COULEE",
            "state": "MT",
            "postal_code": "594729757",
            "telephone_number": "406-736-5123",
            "fax_number": "406-736-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "406-736-5123"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166481",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Coulee, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.