Provider Demographics
NPI:1245400498
Name:VISION CHARTER SCHOOL
Entity Type:Organization
Organization Name:VISION CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDENKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-455-9220
Mailing Address - Street 1:20185 LOLO AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-8088
Mailing Address - Country:US
Mailing Address - Phone:208-455-9220
Mailing Address - Fax:208-455-9121
Practice Address - Street 1:20185 LOLO AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-8088
Practice Address - Country:US
Practice Address - Phone:208-455-9220
Practice Address - Fax:208-455-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty