Provider Demographics
NPI:1013249358
Name:MIDVALE SCHOOL DISTRICT #433
Entity Type:Organization
Organization Name:MIDVALE SCHOOL DISTRICT #433
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:LEVESQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-922-9300
Mailing Address - Street 1:56 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:ID
Mailing Address - Zip Code:83645-2048
Mailing Address - Country:US
Mailing Address - Phone:208-347-2411
Mailing Address - Fax:208-347-2624
Practice Address - Street 1:56 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:ID
Practice Address - Zip Code:83645-2048
Practice Address - Country:US
Practice Address - Phone:208-347-2411
Practice Address - Fax:208-347-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)