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Organization

POCATELLO COMMUNITY CHARTER SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD LEVESQUE (SYSTEMS MANAGER)
(208) 922-9300
Entity
Organization

Contact information

Practice address
995 S ARTHUR AVE, POCATELLO, ID 83204-3400
(208) 478-2522
Mailing address
995 S ARTHUR AVE, POCATELLO, ID 83204-3400
(208) 478-2522

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807649400
ID
Enumeration date
10/08/2008
Last updated
10/08/2008
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