Provider Demographics
NPI:1710157128
Name:BRUNEAU-GRAND VIEW JT. SCHOOL DISTRICT #365
Entity Type:Organization
Organization Name:BRUNEAU-GRAND VIEW JT. SCHOOL DISTRICT #365
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-834-2253
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:GRAND VIEW
Mailing Address - State:ID
Mailing Address - Zip Code:83624-0310
Mailing Address - Country:US
Mailing Address - Phone:208-834-2253
Mailing Address - Fax:208-834-2293
Practice Address - Street 1:660 BOISE AVENUE
Practice Address - Street 2:
Practice Address - City:GRAND VIEW
Practice Address - State:ID
Practice Address - Zip Code:83624
Practice Address - Country:US
Practice Address - Phone:208-834-2253
Practice Address - Fax:208-834-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)