Pocatello Community Charter School

NPI #1992956841 in Pocatello, Idaho

Provider Information

NPI Number
1992956841
Entity Type
Organization
Organization Name
Pocatello Community Charter School
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
995 S ARTHUR AVE
State
Idaho
ZIP Code
83204-3400
Phone
(208) 478-2522

Authorized Official

Name
MR. TODD LEVESQUE
Title
SYSTEMS MANAGER
Phone
(208) 922-9300

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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