NPI 1114048881
County of Jerome
Practice location
- Address
- 882 Valley Rd, Hazelton, ID 83335-5050
- Phone
- (208) 829-5353
- Fax
- (208) 829-5548
Authorised official
- Name
- Christina K Alexander
- Title
- Medicaid Coordinator
- Phone
- (208) 829-5333
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1114048881
- Entity type
- Organization
- NPI issued
- 2 Apr 2007
- Record last updated
- 19 Aug 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.