Whalio Doctors

NPI 1104970326

Fremont Joint School District #215

Organisation Local Education Agency (LEA) St. Anthony, ID

Practice location

Address
147 2nd W Street, St. Anthony, ID 83445
Phone
(208) 624-3146
Fax
(208) 624-3442
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

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1104970326
Entity type
Organization
NPI issued
23 Jan 2007
Record last updated
19 Jun 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.