County of Caribou Ind School Dist 149
Organization Active NPI Local Education Agency (LEA) · Bancroft, ID
NPI 1407998594 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1407998594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Local Education Agency (LEA) 251300000X
- Legal business name
- COUNTY OF CARIBOU IND SCHOOL DIST 149
- Practice address
- 322 South Main Street
Bancroft, ID 83217 - Phone
- (208) 648-7848
- Fax
- (208) 648-7895
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Kenneth Levesque
- Title
- Systems Manager
- Phone
- (208) 922-3093
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- County of Caribou Ind School Dist 149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | ID | Yes |
Addresses
Primary practice location
322 South Main Street
Bancroft, ID 83217
Mailing address
104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805634400 | Medicaid | ID |
Other providers in Bancroft, ID
All providers in Bancroft, ID · Local Education Agency (LEA) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.