Organization Name: | MINIDOKA COUNTY SCHOOL DISTRICT #331 |
NPI Number: | 1427254671 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLANE GARNER (DIRECTOR SPECIAL SERVICES) |
Mailing Address: | 310 10th St Rupert |
State: | ID US |
Postal Code: | 833501421 |
Phone Number: | 2084366059 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |