Provider Demographics
NPI:1407070519
Name:WEST BONNER COUNTY SCHOOL DISTRICT #83
Entity type:Organization
Organization Name:WEST BONNER COUNTY SCHOOL DISTRICT #83
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL SERVICES SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIESKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-448-1423
Mailing Address - Street 1:PO BOX 2531
Mailing Address - Street 2:221 MAIN STREET
Mailing Address - City:PRIEST RIVER
Mailing Address - State:ID
Mailing Address - Zip Code:83856-2531
Mailing Address - Country:US
Mailing Address - Phone:208-448-1423
Mailing Address - Fax:208-448-0849
Practice Address - Street 1:418 HARRIET
Practice Address - Street 2:
Practice Address - City:PRIEST RIVER
Practice Address - State:ID
Practice Address - Zip Code:83856-0489
Practice Address - Country:US
Practice Address - Phone:208-448-1181
Practice Address - Fax:208-448-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)