Organization Active NPI

Vallivue School District #139

  • Local Education Agency (LEA)
  • Caldwell, ID
National Provider Identifier
1174677603
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
VALLIVUE SCHOOL DISTRICT #139
Practice address
5207 S Montana Ave
Caldwell, ID 83607-1583
Phone
(208) 454-0445
Fax
(208) 454-0778
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mr. George Grant
Title
Superintendent
Phone
(208) 454-0445

Specialties & licenses 1

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

Addresses

Primary practice location

5207 S Montana Ave
Caldwell, ID 83607-1583

Mailing address

5207 S Montana Ave
Caldwell, ID 83607-1583
Phone (208) 454-0445

Other identifiers 1

IdentifierTypeStateIssuer
805272800MedicaidID

National Provider Directory

National Provider Directory

Locations

5207 S Montana Ave
Caldwell, ID 83607
Phone (208) 454-0445

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1174677603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 S MONTANA AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071583",
            "telephone_number": "208-454-0445",
            "fax_number": "208-454-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 S MONTANA AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071583",
            "telephone_number": "208-454-0445",
            "fax_number": "208-454-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLIVUE SCHOOL DISTRICT #139",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "208-454-0445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805272800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.