Organization
JOINT SCHOOL DISTRICT 60
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DIXON (BUSINESS MANAGER)
(208) 357-3411
Entity
Organization
Contact information
Practice address
545 SEMINARY AVE, SHELLEY, ID 83274-1461
(208) 357-5125
(208) 357-3040
Mailing address
545 SEMINARY AVE, SHELLEY, ID 83274-1461
(208) 357-3411
(208) 357-5741
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050947
—
ID
Enumeration date
02/05/2007
Last updated
07/29/2008
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