NPI 1023610391
Hayden Canyon Charter
Practice location
- Address
- 13590 N Government Way, Hayden, ID 83835-7800
- Phone
- (208) 477-1812
Authorised official
- Name
- Lori Aldrich
- Title
- Medicaid Biller
- Phone
- (208) 477-1812
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1023610391
- Entity type
- Organization
- NPI issued
- 12 Nov 2020
- Record last updated
- 12 Nov 2020
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.