Provider Demographics
NPI:1295880474
Name:COUNTY OF NEZ PERCE INDEPENDENT SCHOOL DISTRICT NO 1
Entity type:Organization
Organization Name:COUNTY OF NEZ PERCE INDEPENDENT SCHOOL DISTRICT NO 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:RAPP
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:208-748-3000
Mailing Address - Street 1:3317 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-5308
Mailing Address - Country:US
Mailing Address - Phone:208-748-3000
Mailing Address - Fax:208-748-3059
Practice Address - Street 1:3317 12TH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-5308
Practice Address - Country:US
Practice Address - Phone:208-748-3000
Practice Address - Fax:208-748-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID373H00000XMedicaid