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NPI Code Detail

MEDICARE: TROY SCHOOL DISTRICT 287

MEDICARE: TROY SCHOOL DISTRICT 287
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1588838684
Entity Type Code : Organization
Provider Name (Legal Business Name) : TROY SCHOOL DISTRICT 287
Provider Business Mailing Address
First Line : 102 WEST ST STREET
Second Line :
City : TROY
State : ID
Zip : 83871
Country : US
Telephone Number : 208-835-3791
Fax Number : 208-835-3790
Provider Business Practice Location Address
First Line : 103 TROJAN DR
Second Line :
City : TROY
State : ID
Zip : 83871
Country : US
Telephone Number : 208-835-4261
Fax Number : 208-835-4250
Authorized Official
Title or Position : SPECIAL EDUCATION DIRECTOR
Name : RON J SIPE
Credential : MS MES EDSP
Telephone Number : 208-835-4261
Provider Enumeration Date : 04/18/2008
Last Update Date : 04/18/2008

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Directions to “TROY SCHOOL DISTRICT 287 ” Practice Location

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