Organization
HAYDEN CANYON CHARTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ALDRICH (MEDICAID BILLER)
(208) 477-1812
Entity
Organization
Contact information
Practice address
13590 N GOVERNMENT WAY, HAYDEN, ID 83835-7800
(208) 477-1812
Mailing address
13590 N GOVERNMENT WAY, HAYDEN, ID 83835-7800
(208) 477-1812
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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