Hayden Canyon Charter

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

HAYDEN CANYON CHARTER

Practice address

13590 N Government Way
Hayden, ID 83835-7800

Phone

(208) 477-1812

NPI assigned

Nov 12, 2020

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Aldrich

Title

Medicaid Biller

Phone

(208) 477-1812

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert George Griffin

  • Behavior Analyst
  • Hayden, ID
  • NPI 1306513601
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1023610391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357800",
            "telephone_number": "208-477-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357800",
            "telephone_number": "208-477-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN CANYON CHARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MEDICAID BILLER",
        "authorized_official_telephone_number": "208-477-1812"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Hansen
• Robin Happeny, LCSW
• Lea B Harger, LCSW
• Kristlyn Delainey Harrington
• Haven Therapy LLC (Bethany Camarata)
• Hayden Family Dental Center, PLLC
• Hayden Family Foot and Ankle Clinic, PLLC
• Hayden Lake Anesthesia PLLC
• Hayden Lake Chiropractic PA
• Hayden Lake Family Dental PLLC

• Local Education Agency (LEA) in Hayden, ID
• Providers in Hayden, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.