Organization
BONNEVILLE SCHOOL DIST #93
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY J WANGSGARD (CHIEF FINANCIAL & OPERATIONS OFFICE)
(208) 557-6803
Entity
Organization
Contact information
Practice address
3549 N AMMON RD, IDAHO FALLS, ID 83401-1301
(208) 525-4400
(208) 525-4410
Mailing address
3549 N AMMON RD, IDAHO FALLS, ID 83401-1301
(208) 525-4400
(208) 525-4410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002855000
—
ID
Enumeration date
11/03/2005
Last updated
09/12/2025
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