# ST. MARIES SCHOOL DISTRICT \#41

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437378320
- **Authorized official:** SHELLY GUIDRY (MEDICAID BILLING)
- **Authorized official phone:** (208) 245-2142

## Contact information

- **Practice address:** 720 MAIN AVE, ST MARIES, ID 83861-1849
- **Practice address phone:** (208) 245-2142
- **Practice address fax:** (208) 245-5650
- **Mailing address:** PO BOX 384, ST MARIES, ID 83861-0384
- **Mailing address phone:** (208) 245-2142
- **Mailing address fax:** (208) 245-5650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | — | NULL | Yes |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020