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Hayden Canyon Charter

NPI #1023610391 in Hayden, Idaho

Provider Information

NPI Number
1023610391
Entity Type
Organization
Organization Name
Hayden Canyon Charter
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Nov 12, 2020
Last Updated
Nov 12, 2020

Practice Location

Address
13590 N GOVERNMENT WAY
City
Hayden
State
Idaho
ZIP Code
83835-7800
Phone
(208) 477-1812

Authorized Official

Name
LORI ALDRICH
Title
MEDICAID BILLER
Phone
(208) 477-1812

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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