Active NPI
Sugar Salem School District
- Local Education Agency (LEA)
- Sugar City, ID
National Provider Identifier
1104954510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SUGAR SALEM SCHOOL DISTRICT
- Practice address
- 102 North Park Ave
Sugar City, ID 83448 - Phone
- (208) 356-9351
- Fax
- (208) 356-0895
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd Kenneth Levesque
- Title
- Systems Manager
- Phone
- (208) 922-3093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | ID | Primary |
Addresses
Primary practice location
102 North Park Ave
Sugar City, ID 83448
Mailing address
104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104954510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E FAIRVIEW AVE STE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421733",
"telephone_number": "208-922-3093",
"fax_number": "208-922-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NORTH PARK AVE",
"city": "SUGAR CITY",
"state": "ID",
"postal_code": "83448",
"telephone_number": "208-356-9351",
"fax_number": "208-356-0895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGAR SALEM SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVESQUE",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "SYSTEMS MANAGER",
"authorized_official_telephone_number": "208-922-3093",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar City, ID
- Tonya Hollist, LCSW
- Douglas J Messick, DDS
- Julie Lynn Moss
- Victoria Marie Searle, FNP-C
- Stone Ridge Sugar City Dba Stone Ridge Dental
- Micah Thatcher
- Upper Valley Resource & Counseling Center
- Upper Valley Resource & Counseling Center
- Upper Valley Resource & Counseling LLC
- Upper Valley Resource and Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.