Active NPI
County of Missoula School Dist 4
- Local Education Agency (LEA)
- Missoula, MT
National Provider Identifier
1164553947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- COUNTY OF MISSOULA SCHOOL DIST 4
- Practice address
- 2385 Flynn LN
Missoula, MT 59808-5608 - Phone
- (406) 728-5626
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Woodruff
- Title
- Director of Special Education
- Phone
- (406) 728-5626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
2385 Flynn LN
Missoula, MT 59808-5608
Mailing address
2385 Flynn LN
Missoula, MT 59808-5608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161837 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
2385 Flynn Ln
Missoula, MT 59808
Phone (406) 728-5626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1164553947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 FLYNN LN",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 FLYNN LN",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085608",
"telephone_number": "406-728-5626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MISSOULA SCHOOL DIST 4",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "WOODRUFF",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
"authorized_official_telephone_number": "406-728-5626"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161837",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.