Organization
COUNTY OF PAYETTE SCHOOL DISTRICT 371 J
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
20 N 12TH ST, PAYETTE, ID 83661-2603
(208) 642-4138
(208) 642-9006
Mailing address
176 E CALDERWOOD DR STE 100, MERIDIAN, ID 83642-9097
(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
—
805095800
—
ID
Enumeration date
01/22/2007
Last updated
07/14/2008
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