COUNTY OF CANYON SCHOOL DISTRICT CLASS B 136J (NPI# 1053458547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053458547 |
| Entity Type | Organization |
| Organization Name | COUNTY OF CANYON SCHOOL DISTRICT CLASS B 136J |
| Practice Address |
520 Broadway Ave Melba ID 83641 |
| Mailing Address |
176 E Calderwood Dr Ste 100 Meridian ID 83642-9097 |
| Practice Telephone | 2084951141 |
| Practice Fax Number | 2084951142 |
| Mailing Telephone | 2089223093 |
| Mailing Fax Number | 2089229351 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-07-13 |
| Authorized Official Name | MR. TODD KENNETH LEVESQUE (SYSTEMS MANAGER) |
| Authorized Official Telephone | 2089223093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806406400 | 05 |
| Street Address |
520 BROADWAY AVE |
| City | MELBA |
| State | ID |
| Zip Code | 83641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1740239185 | Dan L Watt | Dentist | 150 2nd Avenue, Melba, ID 83641 | 2006-05-10 |
| 1003877986 | Terry Leonard Lewis | Physician Assistant | 150 2nd Ave, Melba, ID 83641 | 2006-03-30 |
| 1578574521 | Community Health Clinics Inc | Clinic/Center | 150 2nd Avenue, Melba, ID 83641 | 2006-08-11 |
| 1467964064 | Shanna Renee Dewey | Doula | 8274 Birmingham Rd, Melba, ID 83641-4210 | 2017-11-04 |
| 1669976957 | Community Health Clinics, Inc | Clinic/Center | 6870 Stokes Ave, Melba, ID 83641-5175 | 2018-03-21 |
| 1891197190 | Danielle H Bradshaw | Counselor | 104 Murphy Rd Ste 100a, Melba, ID 83641-5184 | 2014-09-18 |
| 1477029577 | Custom Rx LLC | Pharmacy | 112 4th St, Melba, ID 83641-5197 | 2018-10-17 |
| 1508824640 | Suhrei Acevedo-daniels | Family Medicine | 150 2nd St, Melba, ID 83641-5199 | 2006-05-01 |
| 1538673769 | Melissa Myers Smith | Counselor | 150 2nd St, Melba, ID 83641-5199 | 2017-11-27 |
| Find all providers in zip 83641 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059933 | Pinecrest Academy of Idaho | Local Education Agency (LEA) | 209 5th Ave N, Twin Falls, ID 83301-6141 | 2020-09-28 |
| 1992312565 | Doral Academy Idaho | Local Education Agency (LEA) | 2511 W Cherry Ln, Meridian, ID 83642-1135 | 2020-09-28 |
| 1649895426 | Mosaics Public School Inc. | Local Education Agency (LEA) | 3121 Lincoln Rd, Caldwell, ID 83605-8171 | 2020-06-08 |
| 1285258921 | Anser of Idaho Inc. | Local Education Agency (LEA) | 202 E 42nd St, Garden City, ID 83714-6315 | 2020-05-28 |
| 1437795770 | Fern-waters Public Charter School Incorporated | Local Education Agency (LEA) | 103 Van Dreff St, Salmon, ID 83467-4116 | 2019-11-21 |
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1811464738 | Forrester Academy, Inc. | Local Education Agency (LEA) | 151 N Ridge Ave, Idaho Falls, ID 83402-4014 | 2018-10-29 |
| 1245715945 | Peace Valley Charter School | Local Education Agency (LEA) | 1845 S Federal Way, Boise, ID 83705-4261 | 2018-09-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.