NPI 1437273760
Idaho Virtual Academy
Practice location
- Address
- 1488 S Eagle Flight Way, Boise, ID 83709-1562
- Phone
- (208) 322-3559
- Fax
- (208) 322-3688
- 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
Registry record
- NPI
- 1437273760
- Entity type
- Organization
- NPI issued
- 19 Mar 2007
- Record last updated
- 22 Aug 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.