Organization Active NPI

County of Missoula School Dist 4

  • Local Education Agency (LEA)
  • Missoula, MT
National Provider Identifier
1164553947
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Jun 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
161837MedicaidMT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.