Provider Demographics
NPI:1568637304
Name:SUN RIVER VALLEY SCHOOL
Entity type:Organization
Organization Name:SUN RIVER VALLEY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-264-5110
Mailing Address - Street 1:123 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:SIMMS
Mailing Address - State:MT
Mailing Address - Zip Code:59477-0380
Mailing Address - Country:US
Mailing Address - Phone:406-264-5110
Mailing Address - Fax:406-264-5189
Practice Address - Street 1:123 WALKER ST
Practice Address - Street 2:
Practice Address - City:SIMMS
Practice Address - State:MT
Practice Address - Zip Code:59477-0380
Practice Address - Country:US
Practice Address - Phone:406-264-5110
Practice Address - Fax:406-264-5189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)