Provider Demographics
NPI:1427254671
Name:MINIDOKA COUNTY SCHOOL DISTRICT #331
Entity type:Organization
Organization Name:MINIDOKA COUNTY SCHOOL DISTRICT #331
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MARLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-436-6059
Mailing Address - Street 1:310 10TH ST
Mailing Address - Street 2:
Mailing Address - City:RUPERT
Mailing Address - State:ID
Mailing Address - Zip Code:83350-1421
Mailing Address - Country:US
Mailing Address - Phone:208-436-6059
Mailing Address - Fax:
Practice Address - Street 1:310 10TH ST
Practice Address - Street 2:
Practice Address - City:RUPERT
Practice Address - State:ID
Practice Address - Zip Code:83350-1421
Practice Address - Country:US
Practice Address - Phone:208-436-6059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty