Provider Demographics
NPI:1457521346
Name:SHOSHONE SCHOOL DISTRICT NO. 312
Entity type:Organization
Organization Name:SHOSHONE SCHOOL DISTRICT NO. 312
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-886-2381
Mailing Address - Street 1:61 E HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:SHOSHONE
Mailing Address - State:ID
Mailing Address - Zip Code:83352-5338
Mailing Address - Country:US
Mailing Address - Phone:208-886-2381
Mailing Address - Fax:208-886-2038
Practice Address - Street 1:61 E HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:SHOSHONE
Practice Address - State:ID
Practice Address - Zip Code:83352-5338
Practice Address - Country:US
Practice Address - Phone:208-886-2381
Practice Address - Fax:208-886-2038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID312251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)