Organization
NORTH GEM SCHOOL DISTRICT #149
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN CORDER (MEDICAID CLERK)
(208) 604-1557
Entity
Organization
Contact information
Practice address
360 SOUTH MAIN ST, BANCROFT, ID 83217-0000
(208) 648-7848
(208) 648-7895
Mailing address
360 SOUTH MAIN ST, BANCROFT, ID 83217-0000
(208) 648-7848
(208) 648-7895
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
ID
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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