Idaho Arts Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IDAHO ARTS CHARTER SCHOOL

Practice address

904 12TH Ave Rd
Nampa, ID 83686-5735

Phone

(208) 463-4324

Fax

(208) 468-0572

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Collins

Title

Principal

Phone

(208) 463-4324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1164691978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865735",
            "telephone_number": "208-463-4324",
            "fax_number": "208-468-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865735",
            "telephone_number": "208-463-4324",
            "fax_number": "208-468-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ARTS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "208-463-4324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8076222",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Nampa, ID
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.