Provider Demographics
NPI:1588838684
Name:TROY SCHOOL DISTRICT 287
Entity Type:Organization
Organization Name:TROY SCHOOL DISTRICT 287
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:MS MES EDSP
Authorized Official - Phone:208-835-4261
Mailing Address - Street 1:102 WEST ST STREET
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:ID
Mailing Address - Zip Code:83871
Mailing Address - Country:US
Mailing Address - Phone:208-835-3791
Mailing Address - Fax:208-835-3790
Practice Address - Street 1:103 TROJAN DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:ID
Practice Address - Zip Code:83871
Practice Address - Country:US
Practice Address - Phone:208-835-4261
Practice Address - Fax:208-835-4250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TROY SCHOOL DISTRICT 287
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)