Provider Demographics
NPI:1164246450
Name:COUNTIES OF RAVALLI & MISSOULA #15-6
Entity type:Organization
Organization Name:COUNTIES OF RAVALLI & MISSOULA #15-6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:REGAN -WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-273-6751
Mailing Address - Street 1:5602 OLD HWY 93
Mailing Address - Street 2:
Mailing Address - City:FLOR
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6565
Mailing Address - Country:US
Mailing Address - Phone:406-273-6751
Mailing Address - Fax:406-375-6906
Practice Address - Street 1:5602 OLD HWY 93
Practice Address - Street 2:
Practice Address - City:FLORENE
Practice Address - State:MT
Practice Address - Zip Code:59833-6565
Practice Address - Country:US
Practice Address - Phone:406-273-6751
Practice Address - Fax:406-273-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)