Provider Demographics
NPI:1427330059
Name:DODSON SCHOOL DISTRICT
Entity type:Organization
Organization Name:DODSON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOLLYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-383-3461
Mailing Address - Street 1:124 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:DODSON
Mailing Address - State:MT
Mailing Address - Zip Code:59524-0278
Mailing Address - Country:US
Mailing Address - Phone:406-383-4361
Mailing Address - Fax:406-383-4489
Practice Address - Street 1:124 1ST AVE W
Practice Address - Street 2:
Practice Address - City:DODSON
Practice Address - State:MT
Practice Address - Zip Code:59524-0278
Practice Address - Country:US
Practice Address - Phone:406-383-4361
Practice Address - Fax:406-383-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid