County of Power Class a School Dist 381

Practice location

Address

598 Lincoln St, American Falls, ID 83211-1762

Phone

(208) 226-5008

Fax

(208) 266-3194

Mailing address

104 E Fairview Ave STE 201, Meridian, ID 83642-1733

Authorised official

Name

Todd Kenneth Levesque

Title

Systems Manager

Phone

(208) 922-3093

Registered specialties

Registry record

NPI

1043364771

Entity type

Organization

NPI issued

22 Jan 2007

Record last updated

21 Jun 2018

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.