Provider Demographics
NPI:1487086435
Name:BOX ELDER PUBLIC SCHOOLS
Entity type:Organization
Organization Name:BOX ELDER PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-352-4195
Mailing Address - Street 1:205 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:MT
Mailing Address - Zip Code:59521-0205
Mailing Address - Country:US
Mailing Address - Phone:406-357-4195
Mailing Address - Fax:406-352-4195
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOX ELDER
Practice Address - State:MT
Practice Address - Zip Code:59521-0205
Practice Address - Country:US
Practice Address - Phone:406-357-4195
Practice Address - Fax:406-352-4195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)