Basic Information
Provider Information
NPI: 1306995071
EntityType: 2
ReplacementNPI:  
OrganizationName: MISSOULA COUNTY PUBLIC SCHOOLS
LastName:  
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MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 215 SOUTH 6TH ST WEST MCPS
Address2:  
City: MISSOULA
State: MT
PostalCode: 598014028
CountryCode: US
TelephoneNumber: 4067282400
FaxNumber: 4063276969
Practice Location
Address1: MISSOULA COUNTY PUBLIC SCHOOLS 215 SOUTH SIXTH WEST
Address2:  
City: MISSOULA
State: MT
PostalCode: 598014028
CountryCode: US
TelephoneNumber: 4067282400
FaxNumber: 4063276961
Other Information
ProviderEnumerationDate: 01/10/2007
LastUpdateDate: 06/08/2015
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HUBBARD
AuthorizedOfficialFirstName: CHARLENE
AuthorizedOfficialMiddleName: NONE
AuthorizedOfficialTitleorPosition: SPECIAL EDUCATION SECRETARY
AuthorizedOfficialTelephone: 4067282400
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251300000X  Y AgenciesLocal Education Agency (LEA) 

No ID Information.


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