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Organization

INDEPENDENT SCHOOL DISTRICT OF EMMETT #221

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
601 E 3RD ST, EMMETT, ID 83617-3111
(208) 365-5971
(208) 365-3413
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
805101500
ID
Enumeration date
01/24/2007
Last updated
06/23/2008
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