Provider Demographics
NPI:1194947358
Name:BUTTE COUNTY SCHOOL DISTRICT 111
Entity type:Organization
Organization Name:BUTTE COUNTY SCHOOL DISTRICT 111
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-527-8235
Mailing Address - Street 1:246 SUNSET DRIVE
Mailing Address - Street 2:
Mailing Address - City:ARCO
Mailing Address - State:ID
Mailing Address - Zip Code:83213
Mailing Address - Country:US
Mailing Address - Phone:208-527-8235
Mailing Address - Fax:208-527-8950
Practice Address - Street 1:246 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:ARCO
Practice Address - State:ID
Practice Address - Zip Code:83213
Practice Address - Country:US
Practice Address - Phone:208-527-8235
Practice Address - Fax:208-527-8950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8051097Medicaid