Organization
IDAHO SCHOOL FOR THE DEAF AND THE BLIND
Active
Parent organization
IDAHO SCHOOL FOR THE DEAF AND THE BLIND
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO SCHOOL FOR THE DEAF AND THE BLIND
Authorized official
GRETCHEN SPOONER (DIRECTOR OF CURRICULUM)
(208) 934-4457
Entity
Organization
Contact information
Practice address
1450 MAIN ST, GOODING, ID 83330-1839
(208) 934-4457
(208) 934-8352
Mailing address
1450 MAIN ST, GOODING, ID 83330-1839
(208) 934-4457
(208) 934-8352
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028201
ID MEDICAID PROVIDER NUMB
ID
Enumeration date
07/10/2007
Last updated
07/10/2007
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