Idaho State University

NPI #1114285996 in Pocatello, Idaho

Provider Information

NPI Number
1114285996
Entity Type
Organization
Organization Name
Idaho State University
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Apr 30, 2012
Last Updated
Apr 30, 2012

Practice Location

Address
921 S 8TH AVE
Address 2
MAIL STOP 8219
State
Idaho
ZIP Code
83209-8219
Phone
(208) 282-3540

Authorized Official

Name
MR. JAMES FLETCHER
Title
VICE PRESIDENT FOR FINANCE/ADMIN
Phone
(208) 282-3540

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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