Organization Active NPI

Sheridan Daniels Special Education Cooperative

  • Local Education Agency (LEA)
  • Plentywood, MT
National Provider Identifier
1831218718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SHERIDAN DANIELS SPECIAL EDUCATION COOPERATIVE
Practice address
100 E Laurel Ave
Plentywood, MT 59254-1644
Phone
(406) 765-1803
Fax
(406) 765-1195
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wayne Koterba
Title
Director
Phone
(406) 385-2258

Specialties & licenses 1

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

Addresses

Primary practice location

100 E Laurel Ave
Plentywood, MT 59254-1644

Mailing address

100 E Laurel Ave
Plentywood, MT 59254-1644
Phone (406) 765-1803

Other identifiers 1

IdentifierTypeStateIssuer
0162630MedicaidMT

National Provider Directory

National Provider Directory

Locations

100 E Laurel Ave
Plentywood, MT 59254
Phone (406) 480-1753

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831218718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541644",
            "telephone_number": "406-765-1803",
            "fax_number": "406-765-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541644",
            "telephone_number": "406-765-1803",
            "fax_number": "406-765-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN DANIELS SPECIAL EDUCATION COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTERBA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-385-2258"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162630",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.