Provider Demographics
NPI:1144365982
Name:SCHOOL DISTRICT #30
Entity type:Organization
Organization Name:SCHOOL DISTRICT #30
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-676-3390
Mailing Address - Street 1:421 ANDREW ST NW
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-2302
Mailing Address - Country:US
Mailing Address - Phone:406-676-3390
Mailing Address - Fax:
Practice Address - Street 1:421 ANDREW ST NW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2302
Practice Address - Country:US
Practice Address - Phone:406-676-3390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0162162Medicaid