Fremont Joint School District #215

Organization Active NPI Local Education Agency (LEA) · St. Anthony, ID

NPI 1104970326 · NPPES record last updated Jun 19, 2008

Key facts

NPI
1104970326
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
FREMONT JOINT SCHOOL DISTRICT #215
Practice address
147 2ND W Street
St. Anthony, ID 83445
Phone
(208) 624-3146
Fax
(208) 624-3442
NPI assigned
Jan 23, 2007
Organization subpart
No

Authorized official

Name
Mr. Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

National Provider Directory

Locations

104 E Fairview Ave
Meridian, ID 83642

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X ID Yes

Addresses

Primary practice location

147 2ND W Street
St. Anthony, ID 83445

Mailing address

104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093

Other identifiers

IdentifierTypeStateIssuer
805096000MedicaidID

Other providers in St. Anthony, ID

All providers in St. Anthony, ID · Local Education Agency (LEA) in Idaho

Sources for this page

Verify at the official NPI Registry.