Organization
BLAINE COUNTY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD KENNETH LEVESQUE (SYSTEMS MANAGER)
(208) 922-3093
Entity
Organization
Contact information
Practice address
118 W BULLION ST, HAILEY, ID 83333-8425
(208) 578-5006
Mailing address
104 E FAIRVIEW AVE STE 201, MERIDIAN, ID 83642-1733
(208) 922-3093
(208) 922-9351
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
ID
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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