Provider Demographics
NPI:1285903039
Name:HAYS-LODGE POLE K-12 SCHOOLS
Entity type:Organization
Organization Name:HAYS-LODGE POLE K-12 SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVERALL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-673-3120
Mailing Address - Street 1:197 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:MT
Mailing Address - Zip Code:59527-0110
Mailing Address - Country:US
Mailing Address - Phone:406-673-3220
Mailing Address - Fax:406-673-3274
Practice Address - Street 1:197 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:MT
Practice Address - Zip Code:59527-0110
Practice Address - Country:US
Practice Address - Phone:406-673-3220
Practice Address - Fax:406-673-3274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid