Provider Demographics
NPI:1942595962
Name:SOUTH LEMHI SCHOOL DISTRICT #292
Entity Type:Organization
Organization Name:SOUTH LEMHI SCHOOL DISTRICT #292
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-922-9300
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:LEADORE
Mailing Address - State:ID
Mailing Address - Zip Code:83464-0119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 3RD STREET
Practice Address - Street 2:
Practice Address - City:LEADORE
Practice Address - State:ID
Practice Address - Zip Code:83464-0119
Practice Address - Country:US
Practice Address - Phone:208-768-2441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)