Organization
GREAT DIVIDE EDUCATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM MCDONALD (SPECIAL EDUCATION DIRECTOR)
(406) 846-2147
Entity
Organization
Contact information
Practice address
511 MAIN ST, DEER LODGE, MT 59722-1414
(406) 846-2147
(406) 846-2154
Mailing address
511 MAIN ST, P.O. BOX 48, DEER LODGE, MT 59722-1414
(406) 846-2147
(406) 846-2154
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163397
—
MT
05
—
0165113
—
MT
05
—
0165451
—
MT
05
—
161811
—
MT
05
—
161902
—
MT
05
—
162084
—
MT
05
—
162110
—
MT
Enumeration date
01/09/2007
Last updated
08/22/2020
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