Provider Demographics
NPI:1508016080
Name:THOMAS JEFFERSON CHARTER SCHOOL
Entity Type:Organization
Organization Name:THOMAS JEFFERSON CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-455-8772
Mailing Address - Street 1:1209 ADAM SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-5487
Mailing Address - Country:US
Mailing Address - Phone:208-455-8772
Mailing Address - Fax:208-455-8713
Practice Address - Street 1:1209 ADAM SMITH AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-5487
Practice Address - Country:US
Practice Address - Phone:208-455-8772
Practice Address - Fax:208-455-8713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)