NPI 1003960659
County of Madison School District 321
Practice location
- Address
- 30 N 1st W, Rexburg, ID 83440-1538
- Phone
- (208) 359-3315
- Fax
- (208) 359-3370
- Mailing address
- 176 E Calderwood Dr STE 100, Meridian, ID 83642-9097
Authorised official
- Name
- Todd Kenneth Levesque
- Title
- Systems Manager
- Phone
- (208) 922-3093
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1003960659
- Entity type
- Organization
- NPI issued
- 22 Jan 2007
- Record last updated
- 14 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.