Provider Demographics
NPI:1689874778
Name:HAGERMAN JOINT SCHOOL DISTRICT NO. 233
Entity Type:Organization
Organization Name:HAGERMAN JOINT SCHOOL DISTRICT NO. 233
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT CLERK
Authorized Official - Prefix:
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-837-4777
Mailing Address - Street 1:324 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERMAN
Mailing Address - State:ID
Mailing Address - Zip Code:83332-5057
Mailing Address - Country:US
Mailing Address - Phone:208-837-4777
Mailing Address - Fax:208-837-4737
Practice Address - Street 1:324 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:HAGERMAN
Practice Address - State:ID
Practice Address - Zip Code:83332-5057
Practice Address - Country:US
Practice Address - Phone:208-837-4777
Practice Address - Fax:208-837-4737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID805109000Medicaid