Provider Demographics
NPI:1134428204
Name:PRYOR SCHOOL DISTRICT
Entity type:Organization
Organization Name:PRYOR SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-259-7329
Mailing Address - Street 1:1 HIGH SCHOOL LANE
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:MT
Mailing Address - Zip Code:59066-0229
Mailing Address - Country:US
Mailing Address - Phone:406-259-7329
Mailing Address - Fax:406-245-8938
Practice Address - Street 1:1 HIGH SCHOOL LANE
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:MT
Practice Address - Zip Code:59066-0229
Practice Address - Country:US
Practice Address - Phone:406-259-7329
Practice Address - Fax:406-245-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid