COUNTY OF ELMOR CONSOLIDATED CLASS A 192 (NPI# 1629114939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629114939 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ELMOR CONSOLIDATED CLASS A 192 |
| Practice Address |
800 Old Hwy 30 Glenns Ferry ID 83623 |
| Mailing Address |
104 E Fairview Ave Ste 201 Meridian ID 83642-1733 |
| Practice Telephone | 2083667434 |
| Practice Fax Number | 2083667455 |
| Mailing Telephone | 2089223093 |
| Mailing Fax Number | 2089229351 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-07-07 |
| 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 | 807239500 | 05 |
| Street Address |
800 OLD HWY 30 |
| City | GLENNS FERRY |
| State | ID |
| Zip Code | 83623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263394 | Frances Hammons | Non-emergency Medical Transport (VAN) | 60 East 2nd Ave, Glenns Ferry, ID 83623 | 2018-01-26 |
| 1205348356 | Tnt Apothecary LLC | Pharmacy | 30 Idaho Ave, Glenns Ferry, ID 83623 | 2017-10-30 |
| 1396875720 | John P Boothe | Physician Assistant | 486 West 1st Ave, Glenns Ferry, ID 83623 | 2007-03-06 |
| 1851604763 | Glenns Ferry Health Center, Inc. | Counselor | 486 West First Avenue, Glenns Ferry, ID 83623-0266 | 2010-07-20 |
| 1962654673 | Rachelle Alice Jaramillo | Physician Assistant | 486 W First St, Glenns Ferry, ID 83623-0266 | 2008-10-14 |
| 1902936362 | Malya Bingham | Counselor | 486 West 1st Ave, Glenns Ferry, ID 83623-0266 | 2007-03-06 |
| 1871607523 | Mark Randall Ensminger | Family Medicine | 486 W First Ave, Glenns Ferry, ID 83623-0266 | 2006-08-19 |
| 1649441627 | John C Welch | General Practice | 486 W 1st Ave, Glenns Ferry, ID 83623-0266 | 2008-03-18 |
| 1376673137 | Glenns Ferry Health Center, Inc. | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2007-03-07 |
| 1649828229 | Anson Call Dpt Inc | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2019-08-28 |
| Find all providers in zip 83623 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GLENNS FERRY |
| Zip Code | 83623 |
Please comment or provide details below to improve the information on COUNTY OF ELMOR CONSOLIDATED CLASS A 192.
| 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.